Procurement Forms

Intellectual Property Rights – Sole Source Form (Schedule A)

Posted on December 13, 2022

Complete this form if there are any intellectual property ownership issues associated with an agreement or contract. Return to Purchasing Services.

Download the Intellectual Property Rights – Sole Source Form (Schedule A) PDF

Related materials, policies, and procedures

Merchandise Pick-Up Request Form

Posted on April 21, 2021

Merchandise Pick-Up Request Form

"*" indicates required fields

Contact Person Name:*

First Last

Phone Number:*

Email:*

Vendor*

Return Authorization Number or Invoice Number:*

Department Name:*

Building Name:*

Building Street Address:*

PO Number (if known):

Total Number Of Packages To Be Picked Up:*

UPS Shipping Request Form

Posted on April 21, 2021

UPS Shipping Request Form

"*" indicates required fields

Your Information

This information will be used for questions and contact information on the shipping label

Name*

First Last

Phone

Email*

Funding String*

Account

Fund

Department

Program

Project

Department or Building Name*

Building Address*

Who are you shipping to?

Company or Name of Person*

Address Type*

Residential

Commercial

Address*

NOTE: Cannot ship to a P.O. Box or International Addresses (excluding Canada and Puerto Rico)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Package Shipping Information

Number of items/boxes being sent to this address*

NOTE: If you have additional packages going to a different address, please submit a separate form.

Delivery Method*

UPS

Freight

UPS Service*

Insurance Required*

Up to $100 (No additional charge)

Over $100 (Additional charge will be applied)

The MDS shipping department will shop for the best rate when using freight. We will contact you with the freight cost prior to shipping.

Core Stock Return Form

Posted on April 20, 2021

Core Stock Return Form

MDS Inventory Adjustment Authorization Form

Posted on April 15, 2021

MDS Inventory Adjustment Authorization Form

DWD/DCF/Corrections Order Form

Posted on April 13, 2021

DWD/DCF/Corrections Order Form

"*" indicates required fields

Contact Information

Name*

First Last

Phone*

Email*

Order Details

MDS Account Number (i.e. MD12345, WIS0999, DCF0002)*

PO#/Reference Field

Ship To Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Item Number

Order Qty

EOC PPE Request Form

Posted on April 1, 2021

EOC PPE Request Form

The PPE Request form is no longer required for requesting PPE. All EOC PPE items are now available on ShopUW+. Please see the guides below for how to place an order.

For N95 respirators and PAPRs

*All respirator “purchases” will be reviewed before they are processed. A current written respirator program, medical clearance and annual respirator fit test or training are required for all N95 respirator and PAPR requests

Under Guided Buying, click on any of the following buttons Lab Supplies, Office Supplies, Facility Supplies or Legacy View to find the MDS Corestock EOC Supplies icon
Once you locate the EOC Supplies icon, Click on the icon then the red search button. Do not type any words in the search box.
Filter Price from Low to High because all EOC PPE items are $0.00
Add the items you need to “purchase” to your cart as you would any Shop @ UW+ order

All other PPE and Disinfectants

Under Guided Buying, click any of the categories to find the MDS Corestock icon
Once you locate the MDS Corestock icon, Click on the icon then the red search button. Do not type any words in the search box.
Filter Price from Low to High because all EOC PPE items are $0.00
Add the items you need to “purchase” to your cart as you would any Shop @ UW+ order