Delegation Purchase Request

The Delegation Purchase Request Form will serve to notify Special Olympics Utah of any upcoming expenses to be incurred by a delegation. All purchases must be pre-approved and the Head of Delegation (or representative) should submit this form 45 days prior to the purchase. All delegation expenses should be reflected in the annual budget. However, if this is an un-budgeted expense, please provide details below. Please attach the approved request form to the invoice or check request when submitting to SOUT for payment.

Name of Area and Delegation (ex. North.Hawks, Metro.Herriman High) *

Head of Delegation (or Representative) Name *

Email *

example@example.com

Date of Completion *

Date

Description of purchase

Amount of purchase *

Is this purchase included in your delegation"s annual budget? *

Yes No

If no, please explain below:

By entering your name below you are electronically signing this form and asserting that all information provided above is true to the best of your knowledge: *