Supplier Evaluation Form

All fields are required unless noted otherwise. If you are affiliated with the University, enter your pitt.edu email address.

First Name:	Required
Last Name:	Required
Department:	Required
Email:	Enter your @pitt.edu for best results Email must be in a valid format
Phone Number:	Valid formats are (xxx) xxx-xxxx or xxx-xxx-xxxx
Event Date: (mm/dd/yyyy)	Enter a valid date
Supplier Name of Evaluated:	Required
Purchase Order Number: (optional)
Purchase Order Line Number: (optional)
Supplier Service Rating: (optional)
Service Comments: (optional)
Supplier Delivery: (optional)
Supplier Delivery Comment: (optional)
Supplier Quality: (optional)
Supplier Quality Comment: (optional)
Supplier Price: (optional)
Supplier Price Comment: (optional)
Supplier Other: (optional)
Supplier Other Comment: (optional)
Purchasing Srvs Contact Request?: (optional)