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Department Purchase Authorization Form

Purpose: This form serves as an annual reminder of the College's general purchase authorization limits and provides Department Directors with the opportunity to delegate purchase authority for transactions of $15,000 or less.

Instructions:
1. Review general authorization limits
2. Input names and department numbers of individuals who are delegated purchase authority up to the specified limit.
3. If an individual has authority for more than four (4) departments, please complete an additional form.
4. Please click on the submit at the bottom of the form when complete.
5. Please notify the Accounts Payable Office of any changes throughout the year.

Please Note: We are requesting this form be completed electronically to allow data to be compiled into a master database. Thank you for your cooperation.

 

(*) denotes required information.
* Department Name(s)
* Vice President:
* Department Director Name
As Department Director, responsible for the budget oversight of the departments listed below, I hereby acknowledge and authorize the individual(s) listed below as having purchase authority up to the specified limits.

* Checking this button serves as an electronic signature acknowledging the statement above.
Electronic Signature
* Date (MM/DD/YYYY):

 

>$75,000 Divisional Vice President AND one of the following: President or Vice President for Finance and Administration
≤$75,000 Divisional Vice President OR Department Director
≤$15,000 Please enter employee name(s) and department number(s)
Last Name: First Name: Dept. # (1)
Last Name: First Name: Dept. # (2)
Last Name: First Name:  Dept. # (3)
Last Name: First Name:  Dept. # (4)

 

≤$5,000 Please enter employee name(s) and department number(s)
Last Name: First Name:  Dept. # (1)
Last Name: First Name: Dept. # (2)
Last Name: First Name: Dept. # (3)
Last Name: First Name: Dept. # (4)


 
 
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