PMM Item File Request

Please use this form to request additions to the PMM Item file.

View our Item File Policy.

* Required for item adds

Action

* Please choose an Action:

Add Item

Change Item
Make item inactive

Location

* Please choose a Location:

University of Rochester
Highland Hospital
Both
* Mfg Catalog#
* Mfg Name:
(select or specify below)
* Item Description:
Secondary Description:
* Commodity:
* Vendor Name:
(select or specify below)
* Vendor Catalog Number:
Packaging

  Note: Please be sure to enter Units of Measure in order, from Highest to Lowest

* Unit of Measure
* Contents: * Cost:
  Unit of Measure:
  Contents:   Cost:
  Unit of Measure:
  Contents:   Cost:
* Default Unit of Measure:
* Estimated Monthy usage
(per default UM)
* Default Expense (Sub) Code :
    (University of Rochester)
Click here for additional Expense Code information
* Default Expense (Sub) Code :
    (Highland Hospital)
* Latex?
* Implant?
* Inventory Asset Accounts: (select all that apply - hold down "ctrl" key for multiple selections)
Comments Comments: (include pricing verification - rep name and phone number)
Requested by

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Upload and Attach a File to this request

If desired, you may upload and attach a file to this PMM request. Please note that uploads must meet the following criteria:

  • File Type:
    • Microsoft Word document (.doc, .docx)
    • Microsoft Excel Document (.xls, .xlsx)
    • PDF Document (.pdf)
  • File SIze: No more than 5 MB