Hospital Requisitioner Role Activation Request

Once you have completed the online Hospital Requisitioner training, please fill out the form below in order to receive access to the UShop system.

Your Name*
First Last
Your uNID*
Your Email Address*
Your Department Name/Org ID*
Are you a Hospital or Clinics employee?*
- Yes
- No
Do you purchase on BU02 Chartfields?*
- Yes
- No
Do you purchase on BU01 Chartfields?*
- Yes
- No
You have read and understood the required UShop Hospital Requisitioner Training*
- Yes
- No
Your ORG ID Approver Name*
First Last
Your ORG ID Approver Email Address*