Purchase Order Change Request

PO Number        (*) 

Vendor Name    (*) 

Blanket Order?    YES    NO

Cancel the PO?    YES    NO

Make the following changes:

Enter new total dollar amount of purchase order:  (*)

Accounting Changes:

Do you want Purchasing Services to fax a copy of the Change Order
to the vendor?    YES    NO

Changes approved by:   (*) (Must be Authorized Signer)

Comments? Other changes? (Ex. timeframes, performance issues, etc.)

Your Name : (*)   Phone: (*)

Your Email Address:   (*)

Your Department:       (*)

Please have grant fund changes approved by the Office of Sponsored Programs prior to processing