Purchase request – Headway NS

Please use this form to request approval of a purchase using Headway North Staffordshire funds. The request will be sent to the Finance Manager, Chief Executive and the person you name below as an approver.

You will receive a purchase request number automatically and immediately, and a response as soon as possible after that.

Purchase Request

Your name

Your Email address

Chosen supplier

Purchase title

Up to five words that summarize your purchase, for example “Replacement kettle”

Frequency of required purchase

One-Time

Reccuring (e.g. monthly, annual)

Please describe your purchase and why it is necessary

Please make sure you include enough detail to enable the mandate holder to approve your request. If you are submitting multiple quotations please include a note of why you have selected your preferred supplier.

Cost

You can use an estimate if necessary but approval will then be subject to the provision of final figures. If the payment is recurring please enter the regular subscription amount.

How will this purchase be made?

Card purchase online

Card purchase in person

Supplier will send invoice

Personal expenses claim with receipt

Not yet determined

Cost code (budget line)

This should be in the format XX-XXX

Approver Email

Please enter the email address for the person responsible for approving this purchase

Please upload quotations or estimates as appropriate. Three quotations are required for purchases above £500.00

Maximum file size: 134.22MB

Note: files will upload in PDF only.

If you are human, leave this field blank.

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