GIM 14
Attachment A
Grant Purchase Authorization
GRANT NAME 
UW BUDGET #
Principal Investigator Date
(investigator is authorized to sign all items related to grants)
Department of
GRANT PURCHASE AUTHORIZATION
This form authorizes purchases by specific grant name. It allows
various levels of authority for purchasing. Purchase authority is placed at
the lowest level to assure ease of ordering routine items associated with a
grant, and assures that major fund commitments are reviewed and authorized by
the Principal Investigator. Personnel are authorized to initiate purchase
orders from outside vendors as well as internal University goods and service
providers. Persons signing at the various levels are accountable to assure
that purchases are allotted to the correct grant in compliance with OMB
Circular A-21 c.4.d.(3) and C.4.b.
Purchases less than $2500.00:
*Signatures optional on this form
Primary *
Alternate *
Alternate *
Purchases between $2,500.00 and $5,000.00:
Primary *
Alternate *
Alternate *
Purchases greater than $5,000.00:
Primary *
Alternate *
Alternate *
