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Request for Waiver of Public Bid form
(right-click and select Save Target As to save the file to your computer)

Waiver Intake Form
(right-click and select Save Target As to save the file to your computer)

Please click here for the complete Waiver of Bids policy

Instructions for Completing the Online PDF Form

Open up the PDF file. You can either left-click the PDF Download link to open the file directly in your web browser, or right-click and select “Save Target As” to save the PDF form to your local machine. If you chose the second option, you will have to open the PDF file from your PC.

Once the PDF file is open, please enter information for items 1 through 13. If you do not complete all information, the form will be sent back to you for completion.

After all information is entered, click “Click Here to Print this Form” to print the file with your entries.

Replace with: Have the form signed by the requestor, Department Head, and Unit Administrator. After the form has been signed by all required persons, please email completed form to University Hospital Supply Chain Management at

Notes on completing the form:

  • Delivery Date is in the same format as Banner dates (DD-MMM-YYYY). For example, May 31st, 2014 would be entered as 31-MAY-2014.
  • Index and account are limited to the normal Banner 6 digits.
  • Total dollar amounts should be entered without the “$” sign, and without commas.
  • Requisition numbers are limited to 8 digits.