Forms

Procurement Forms

Form Name

Form Number

Purpose

Authorized Dealer Certification PUR525 To certify that a specific supplier is an authorized agent to repair or provide repair parts on behalf of the Original Equipment Manufacturer (OEM). Form is to be completed by the manufacturer.
Contract Performance Evaluation PUR514 To provide department/campus feedback on university contracts.
Contract Suggestions PUR512 To provide suggestions for contract improvement or new contract development to meet the needs of the department/campus.
Deficiency/Complaint Report PUR515 To report a supplier's unsatisfactory service (delivery, quality or other).
Procurement Noncompliance FRM-U307.C To request approval of a purchase made without following the Procurement Code, policies or procedures. 
Promotional and Logo Items with University Funds PUR522 To request approval to purchase promotional items, trophies, plaques and or awards using LSU's name, trademarks and/or logos.
Proposed Suppliers  N/A To provide a list of suppliers to include in a solicitation process.
Quotation Tabulation FRM-U501.A.03.B To tab and evaluate quotes received from suppliers in response to an informal solicitation (RFR or RFQ) conducted by the department.
Request for Fax Quotation (RFQ) FRM-U501.A.03.A To obtain quotes from suppliers for purchases not available through a master contract whose total cost exceeds the competitive threshold but is less than $25,000. (See PRO-U501.A.03).
Request for Response (RFR) FRM-U501.B.02 To obtain quotes from state contract suppliers when making a purchase with a total cost $50,000 or greater of goods or services from a State of Louisiana - Louisiana Pricing Schedule (LaPS) Contract. (See PRO-U501.B.02). Click here for instructions if conducted by the department.
Sole Source Justification FRM-U501.B.01 To request approval to purchase an item with a total cost exceeding the competitive threshold directly from a specific supplier and not undergo the competitive solicitation process. This is a one-time approval which must meet specific requirements (See PRO-U501.B.01).
Used Equipment Justification FRM-U525.A.25 To request to purchase equipment that is no longer 'new' in state. This is a one-time approval which must meet specific requirements (See PRO-U525.A.25).

 

Professional, Specialty & Consulting Services Forms

Form Name Form Number Purpose
Contractor Information FRM-U505.C&D.02

To gather information about the supplier such as their relationship to LSU and its employees as well as outline specific payment terms. Required for all PSC requisitions.

Cost Benefit Analysis Documentation PUR-CB

To certify that obtaining such services from the private sector is more cost effective than providing such services by the University or by another state agency. Used for contracts over $50,000.

Performance Evaluation PUR-PE

To provide an evaluation of the services rendered by the supplier.

Scope of Services FRM-U505.C&D.01

To gather details on the services being provided by the supplier as well as specific deliverables, goals and objectives.

Subaward Processing Checklist N/A Outlines the process for establishing Subawards. 

 

Supplier Forms

Form Name

 Purpose

Indemnification Agreement and Insurance Verification Form To declare allocation of risk between the parties to a contract. Supplier agrees to accept financial responsibility for it's actions and defend the university in legal claims should they arise as a result of a their actions. For more information contact the Office of Risk Management.
W-8BEN: Certificate of Foreign Status of Beneficial Owner for US Tax Withholding and Reporting for Individuals For Foreign Individuals Only. To establish an individual as a foreign person doing business with LSU. W-8 information must match information submitted in the supplier application. Click here for instructions on completing a W-8BEN.
W-8BEN-E: Certificate of Foreign Status of Beneficial Owner for US Tax Withholding and Reporting for Entities For Foreign Suppliers Only. To establish an entity as a foreign company doing business with LSU. W-8 information must match information submitted in the supplier application. Click here for instructions on completing a W-8BEN-E.
W-9: Request for Taxpayer Identification Number and Certification For Domestic Individuals/Suppliers Only. To establish an individual or company doing business with LSU. W-9 information must match information submitted in the supplier application. Click here for instructions on completing a W-9. Also, required if changing the name or TIN.

 


 

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