Forms

Conflict of Interest Disclosure Form

Departments need to complete this form and submit it to Procurement Services when a purchase of goods/services is from a University of Michigan employee or from a supplier with which an employee has a relationship. The completion of this form does not constitute approval of this COI purchase. The form will be used to assist Procurement Services in determining whether the justification provided in this document is sufficient to submit this request to purchase for Regent approval.

Conflict of Interest Disclosure form | Word 

Disclosure Of Significant Relationships With Relevant Companies Statement Form

This form should be sent as an attachment with your Non-Competitive Purchase Award Form. The University of Michigan Health System has established standards and guidelines in accordance with the University's Standard Practice Guide Policy on Conflict of Interest (S.P.G. #201.65-1) for individuals participating in purchasing decision-making.

Disclosure Of Significant Relationships With Relevant Companies Statement form | Word

PeoplePay Multiple Payment Release Form

This form is to be used when creating a payment to an individual against an M-Pathways contract. Do not use this form when one transaction will be processed with multiple payment release dates automatically scheduled. Complete this form, along with an ePro req, to initiate each individual payment throughout the course of the contract. This multiple payment release form serves as the individual's invoice for each payment against the M-Pathways Contract. This form is required even if the individual provides an invoice. If an invoice is provided, please submit it with this form to PeoplePay Procurement Services as back-up.

PeoplePay Multiple Payment Release form | PDF

Purchase Requisition Form 4330

Purchase Requisition Form for those staff members that do not have access to the M-Pathways systems to create an online requisition. Complete all required fields on this form and mail or fax it to Procurement Services.

Purchase Requisition Form 4330 | Excel

Signature Authority Tables/Authority to Contract

Delegation of authority represents the legal power to act in the name of the Regents of the University of Michigan or to bind the University of Michigan to an obligation or promise. The university is not bound by and does not recognize as binding any promise or obligation made by an unauthorized person.

The university‚Äôs Standard Practice Guide (SPG 601.24) on the Delegation of Authority to Bind the University to External Agreements on Business and Financial Matters:

(1) Standardizes the signature and authority delegation process (2) Defines the explicit and implied expectations the university assumes the signer (or binding individual) has fulfilled (3) Makes publicly, and easily available, a means to determine who has the authority to obligate the university for a particular transaction or promise to an external organization.

The SPG does not apply to internal university signatures, approvals, or processes (e.g., time sheets, journal entries, purchase order requests, etc.,).

University personnel with general questions concerning the scope of authority may contact the Office of the General Counsel for advice or may direct specific operational questions to their immediate supervisor. Vendors may contact the Procurement Solutions Team with any questions.

Sole Source Justification Form

This form should be sent as an attachment with your requisition only if your purchase cannot be competitively bid.

Sole Source Justification form | Word

Sole Source Justification Form (HCP)

This form should be sent as an attachment with your requisition only if your purchase cannot be competitively bid.

Sole Source Justification form (HCP) | Word

U-M Requisition for Tax-Free Alcohol Form

The University is maintaining a central distribution process for Tax-Free 190 proof and 200 proof Ethyl Alcohol. See the ordering process for instructions.

U-M Requisition for Tax-Free Alcohol form | PDF 1 | PDF 2