Get Purchase Order Form - Ct.gov - Ct

Filling out the Purchase Order Form is an essential process for ordering specific documents from the Connecticut Department of Public Health. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to complete the Purchase Order Form successfully

1. Click 'Get Form' button to access the Purchase Order Form and open it in your preferred editor.
2. Begin by filling in your name clearly in the designated field. Ensure that your name is printed properly to prevent any processing issues.
3. Next, enter your address, including street details, to ensure accurate delivery of the requested documents.
4. In the 'City, State, Zip' section, provide your city name, state abbreviation, and zip code to complete your location information.
5. Fill in your phone number to allow for any necessary follow-up communication regarding your order.
6. In the 'Product Description' section, indicate the documents you wish to purchase. Note the quantity and price for each document ordered, ensuring you double-check the total amounts.
7. Calculate the total payment amount based on the quantities and prices listed, and write this amount in the 'Payment Total' section for clarity.
8. Once you have confirmed all information is accurate, print the completed form. Keep a copy for your records.
9. Mail the printed form along with a check or money order made payable to 'Treasurer, State of Connecticut' to the specified address provided on the form for processing.
10. Ensure you send the payment and form to the Department of Public Health, ATTN: Theresa Williams, at the address provided to avoid processing delays.

Complete your Purchase Order Form online to request the necessary documents today.