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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 *