Environmentally Preferable Purchasing Justification Form

Department/Unit: Requestor Name: Date: Product/Service Description:

Vendor/Supplier: Estimated Total Cost:

Does this purchase include any of the following sustainable attributes?

Attribute	Yes/No
Energy-Efficient (e.g., ENERGY STAR, EPEAT)
Recycled Content
Biodegradable or Compostable
Reduced Packaging
Locally Sourced
Other (specify)

List efforts made to find an environmentally preferable option, and why it was/was not selected:

Justification for selecting a non-environmentally preferable product or service (if applicable):

Approver Name/Title: Approver Signature: Date: