Procurement Forms

Merchandise Pick-up Request Form

Posted on January 17, 2024

A request form used when returning merchandise purchased through ShopUW+.

"*" 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:*

Phone

This field is for validation purposes and should be left unchanged.

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

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

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.

Comments

This field is for validation purposes and should be left unchanged.

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

Comments

This field is for validation purposes and should be left unchanged.

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

Credit Letter

Posted on September 18, 2019

Credit Letter

The University of Wisconsin – Madison is an agency of the State of Wisconsin and, as such, does not provide credit information, as we are statutorily required to pay for all legal purchase obligations. The State of Wisconsin has also enacted prompt pay legislation (Wisconsin Statute 16.528) which requires the University be responsible for the payment or dispute of invoices within a timely manner (30 days).

The letter linked below is the University’s response to a request for a credit application. It also includes UW–Madison’s tax-exempt information and ID numbers (including DUNS and UEI numbers) and may be used to respond to vendor inquiries.

VIew Credit Letter – NetID login required

Related resources

UW–Madison Sales Tax Exempt Status Letter/Substitute W-9 – designed to answer inquiries concerning our tax exempt status. This letter is used to send to entities requesting information on our tax exempt status and includes the University of Wisconsin’s ID numbers.
Universities of Wisconsin (UW System) Sales Tax Exempt Certificate – standalone document of the University tax-exempt certificate.

Speaker Contract Form

Posted on May 13, 2019

Use the Speaker Contract for the personal services of an individual to speak at an event.

Use the Speaker Contract for the personal services of an individual to speak at an event.

The contract is made between the University of Wisconsin-Madison and the undersigned speaker, for the personal services of the Speaker.

Download the Speaker Contract (doc)

Minority Business Enterprise Direct Payment Purchases Form

Posted on April 15, 2019

This form is used to report dollars spent with MBE’s through Direct Payments and Open Vendor Purchases.

Please use the form below to report your Direct Payments to State Certified MBE’s.

"*" indicates required fields

Your name*

First Last

Email*

Phone*

UDDS#*

Direct payment amount

Vendor name*

Month

Please select a month

Phone

This field is for validation purposes and should be left unchanged.