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Equipment/Supply Purchase Request

2. Equipment / Supply Purchase Request
4. Fire Purchase Workflow
   Fire Purchase Workflow
6. Is This Purchase for Equipment and/or Supply? *

   1. Yes
   2. No
8. Will Purchase Exceed $5,000?*

   1. Yes
   2. No
10. Obtain Quote and Submit for Approval.*
12. Should There be a Contract (Think Services)? *

    1. Yes
    2. No
14. Obtain 3 Quotes or Provide Exception Form, Then Submit for Approval. *
15. Quote #2
16. Quote #3
18. Obtain Quote and Scope of Service, Then Submit for Approval.*
20. Are You Sure? Services That Don't Require a Contract Must be Deemed Low Risk.*

    1. Yes
    2. No
22. Obtain Quote and Scope of Service, Then Submit for Approval. *
24. Contact Admin to Determine if the Service is Low Risk.*

    1. Low Risk
    2. High Risk
26. Obtain Quote and Scope of Service, Then Submit for Approval. *
28. Obtain Quote and Scope of Service, Then Submit for Approval. *

    Once approved, Admin will draft and route the agreement to Legal. Services can not be performed until there is an executed agreement. 

30. Employee Name:*
32. Is This a Replacement of Lost or Damaged Equipment? *

    1. Yes
    2. No
34. Justification for Purchase:*
36. Program Manager*
    -- Select One --Operations Division Chief BerensBattalion Chief CorteseBattalion Chief GilbertBattalion Chief RhodesAdministrative Battalion Chief BecerraCaptain AimarCaptain BaraccoCaptain BurgessCaptain CaldwellCaptain ChagonjianCaptain ChamnessCaptain CroweCaptain DavisCaptain DombrowskiCaptain GenaroCaptain JonesCaptain KochCaptain LangfordCaptain MortimoreCaptain OlivaCaptain UlitinCaptain VoglerGreg FortuneShuree Egloff

    You Supervisor Will Receive This Request

38. Special Program / JL*
    -- Select One --Swat (FDSWATTRN)Honor Guard (FDHONOR)Apparatus Program (FDAPP)Personal Protective Equipment (FDPPE)Power Equipment (FDPWREQ)Peer Support (FDPEER)Breathing Air Program (FDBRAIR)Fitness (FDFITNESS)Hazmat (FDMAZMAT)Hands Only CPR (FDHOCPR)Investigations (FDINVSTG)Safe (FDSAFE)Training (FDTRAIN)Urban Search and Rescue (FDUSAR)Water Rescue (FDWTRRES)Hoses and Nozzles (FDHOSENZ)Medical Supplies (FDMEDIC)Training Officer (FDTO) Explorer Program (FDEXPLORER)Fire Stations (FDSTATION)No Associated JL
40. Part of submitted budget purchases for Fiscal Year?

    1. Yes
    2. No

    Is this part of your planned purchases submitted at the beginning of the fiscal year to your program manager?

42. Does This Purchase Exceed the Allocated Program Budget for Fiscal Year?*

    1. Yes
    2. No

    If yes, the program manager must request approver from the Operations Division Chief. 

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44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field