Requisition Slip

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Requisition Details

**Requisition Number:** {{requisition_number}}

**Date of Request:** {{date_of_request}}

**Department/Division:** {{department}}

**Requested By:** {{requester_name}} (Employee ID: {{employee_id}})

Item/Service Requested

**Description of Item/Service:** {{item_description}}

**Quantity:** {{quantity}}

**Unit Price (Estimate):** {{unit_price}} {{currency_code}}

**Total Estimated Cost:** {{total_estimated_cost}} {{currency_code}}

**Reason for Request/Justification:** {{justification}}

**Required By Date:** {{required_by_date}}

Vendor Information (if known)

**Preferred Vendor Name:** {{vendor_name}}

**Vendor Contact Person:** {{vendor_contact_person}}

**Vendor Contact Number:** {{vendor_contact_number}}

**Vendor Address:** {{vendor_address}}

Budget Allocation

**Budget Code:** {{budget_code}}

**Budget Line Item:** {{budget_line_item}}

**Available Budget:** {{available_budget}} {{currency_code}}

Approvals

**Department Head Approval:**

Name: _________________________ Date: _________________________

Signature: ______________________

**Finance Department Approval:**

Name: _________________________ Date: _________________________

Signature: ______________________

**Procurement Department Approval:**

Name: _________________________ Date: _________________________

Signature: ______________________

Procurement Action

**Purchase Order Number:** {{purchase_order_number}}

**Date of Purchase Order:** {{po_date}}

**Supplier Used:** {{supplier_used}}

Notes/Comments

{{notes_comments}}

Signature Block

_________________________ _________________________

{{requester_name}} Date

Requester