Document Number: DVR-14918-E
Description: This form is used to request, review and document approval of purchases of goods and services that exceed the fee schedule prices or scope of services, established policy and/or procedure.
Comments: Form is protected from modification and enabled for form fill (includes tabbed fields for form completion).
Content Contact: Kristina Krizan
Document Attachment: DVR-14918-E (Word/50 KB)
*** If you need to access this form in an alternate format, please send an email to the Content Contact listed above.
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