Equipment Purchase/Replacement Request

Shop with u

Equipment Purchase/Replacement Request

All fields are required. Provide detailed responses to help reviewers evaluate your request.

Requestor Information

Date(Required)

First Name(Required)

Last Name(Required)

Email(Required)

Job Title(Required)

Department(Required)

Vendor Information

Name(Required)

Contact(Required)

Address(Required)

Street Address City State ZIP Code

Phone(Required)

Equipment Details

Equipment Name(Required)

Manufacturer(Required)

Type/Model(Required)

Quantity(Required)

Price Per Unit(Required)

Total Estimated Cost (including tax and transport fees)(Required)

Equipment Details: size, capacity, features(Required)

Please provide enough detail for the approval team to understand the request. Brief responses or responses such as "N/A" or "xxx" may be denied approval.

Purpose of Equipment (Ex: certain project, general operations, specific facility / yard, etc)(Required)

Please provide enough detail for the approval team to understand the request. Brief responses or responses such as "N/A" or "xxx" may be denied approval.

Business Justification (Ex: improved productivity, replacement of current asset, new equipment not currently in fleet, etc. If replacement, please list asset and ID number being replaced.)(Required)

Please provide enough detail for the approval team to understand the request. Brief responses or responses such as "N/A" or "xxx" may be denied approval.

Do you have a CapEx ID?(Required)

Yes

CapEx ID(Required)

Level of Urgency(Required)

Critical 0-2 weeks

High 2-8 weeks

Medium 2-6 months

Low 6+ months

File Upload (Ex: Quotes, etc.)(Required)

Drop files here or

Max. file size: 50 MB.

Requestor Signature(Required)

Jeff Approval

Pat Approval

Jay Approval

Shop with u