• Please complete this form and submit it for approval prior to purchase for ALL purchases. (No reimbursements can be made for purchases without prior approval.)
  • Include all variables for the purchase (example: shipping & NP tax) in the Total Requested box.
  • Please submit all requests a minimum of two weeks before funds are needed. 
  • NPWC's preferred method of payment is check; if the vendor does not accept checks, please note other accepted forms of payment in the Comments section below.
  • If making multiple purchases, please complete one form per vendor.
  • Please expect to receive a response re: funds status within 5 business days of office receipt of request. Thank you!
Name *
Date *