Requisition Request Form

This form is to be used by clubs officers and other members of student organizations to request a requisition to expend funds from their budget. If the Undergraduate Student Association approves your requisitions, please use SAFE instead of this form.

Instructions

For each request, complete all the fields for each record. Required fields are marked with a red asterisk.
Submit the request.

Contact Information

Name of Student Government or Organization

If your club falls under Undergraduate Student Association, please visit their SAFE application.

Club Name, Activity or MDRF Grant Number

Account Number

General Ledger Number Only - do not submit bank account numbers

Name of Individual Completing this Form

@buffalo.edu

Enter UBITName

Vendor Information

Vendor Name

Vendor Address

Event Information

Date of Event

Event Location

Estimated Number of Attendees

Description of Event

Expense Details

Description of Goods or Services

# of units, product descriptions, etc.

Estimated Total Cost

Is this a fundraising expense?

Yes

Is this purchase an advance? Advance checks must be picked up at FSA.

Yes

Will there be alcohol at the event?

Yes

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