Capital Expenditure Request
Project / Asset Name
Requestor
Department
Date of Request
Total Amount
Type of Expenditure
New Acquisition
Replacement
Upgrade
Other
Description / Justification
Expected Benefits
Estimated Delivery / Completion Date
Cost Breakdown
Item / Description
Quantity
Unit Cost
Total Cost
Approval
Prepared by
Date:
Department Head Approval
Date:
Finance Approval
Date:
Final Approval
Date: