HEAD Requisition Form

Form for requesting purchases or services. Please fill in as much information as you can and then click the "Submit" button at the bottom of the page. If you have questions, contact the HEAD Division Administrator.

*: Required field

*Requested By:

*Purpose:

* Deliver To: Select one OCC CXC SysHelp (includes desktop/laptop orders charged to CXC 716015) Paul Pierson (SSX group computers) Glenn Brahin (Central Engineering computers) Other

*Delivery Date Required : (Please enter date as MM/DD/YYYY)
Normal processing of orders by SAO is 7 business days, excluding delivery time (an estimate of at least 3 business days).
If you require a delivery date that is earlier than 10 business days, please provide a justification.

Preferred Vendor's Name:

Is Vendor entered in PeopleSoft? (Yes / No / Don't know) :

Vendor's Address :

Vendor's Phone Number:

Vendor's Fax Number :

Vendor's Email :

Sales Representative's Name:

*Project Title, Designated Code, and Task Number where Appropriate:

NOTE: If you want a copy of this request submission, include your "standard" address generally first-initial + last name@cfa.harvard.edu e-mail below. Use commas to separate multiple e-mail addresses, e.g. my-address@cfa..., my-supervisor's-address@cfa....

Additional Comments:

PDF attachment:

To automatically send this request to the HEAD Division Administrator for processing, click the submit button below. If your item list exceeds the space available, fill out a second form with a note mentioning that the second form is a continuation.

For blanket/open purchase order requests:
This request supersedes the previous order, PO#