University of Kentucky Supply Center
Add Item Form

Request Date 10/23/2014
Requestor's Name *
Requestor's Phone # *
Requestor's Email *
Entities Involved



Describe the current product/service (if applicable)
Justification for this new item request *
Types of opportunities * (Check all that apply)







Stock Preference *
Annual Usage *
Product(s) it replaces for this procedure (include SAP #) *
Manufacturer *
Manufacturer ID *
Vendor Name *
Vendor Phone # *
Vendor Website