Region 3 Forms

Complete this form when requesting that Region 3 make an initial purchase for supplies/training/etc.

Follow the steps below:

1. Fill in Date and Name (person filling out form)

2. Name, address, phone, fax and email of where purchase will be made; 

all information is required to set up a vendor for a purchase order.

3. Ship To - All boxes need to be filled out so the product goes to the right person. Please be specific if the product needs to be emailed.

4. Ordering Instructions - Check the correct box for how the order needs to be placed.

5. Each column needs to be filled out; be specific on description and purpose.  Make sure to include Shipping and Total. 

6. Attach a screenshot of the cart and/or product with the purchase information and the cost with the requisition.  Include links, logos, all necessary information, to complete the order. 

7. Your signature (this should match the name at the top of the form)

8. Return to Heidi Halker, RLIF, hhalker@isd6070.org

Complete this form when requesting to be reimbursed for a cost that you/your district has already incurred.

Follow the steps below:

1. Date - this is the date you are completing this form.

2. Check payable to: Name of person/business to be reimbursed

3. Mail to: Address of where the reimbursement needs to be sent.

4. Attach W9 to the Claim Form

5. Fill out the type of reimbursement (Mileage, Salary or Expense) along with details, including shipping costs.  Be sure to correctly total each reimbursement.

6. Please review/complete the highlighted portion related to being a school district employee.

7. Requester’s Signature - This should be the person filling out this form.

8. Return to Heidi Halker, RLIF, hhalker@isd6070.org