Request to Purchase Equipment Form Summary

Appendix D is a Request to Purchase Equipment form (BEN-12) utilized by the Nevada Department of Employment, Training and Rehabilitation (DETR) Business Enterprises of Nevada (BEN) program for the Rehabilitation Division Business Enterprise Program. The form documents equipment acquisition requests for BEN sites, capturing whether requests are emergency or planned purchases for new or replacement equipment. The form requires operators to provide detailed justifications including reasons for purchase, alternatives considered, projected sales increases, usage frequency, and risk assessments for non-purchase. Approval workflow includes mandatory warehouse inventory checks to confirm no suitable items are in storage and documented evidence that equipment repair is not feasible. The form establishes cost thresholds requiring Business Enterprise Officer (BEO) approval for all requests and Chief Enterprise Officer (CEO) approval for purchases exceeding $200. Required documentation includes manufacturer equipment useful life specifications, estimated current equipment life, repair cost estimates, selected vendor identification with justification, and supporting rationale addressing purchase necessity, considered alternatives, projected operational impact, and equipment utilization frequency.

The form serves as an internal control mechanism within the BEN program to ensure disciplined procurement practices and appropriate capital expenditure management. It functions as a supporting document within the broader BEN Case Management System procurement context, where equipment requests from program sites would eventually be tracked and managed through the new web-based system. The form does not establish pricing terms, set-asides, or funding allocations; rather, it provides the documentation framework through which individual equipment requests are evaluated and approved at the operational level prior to purchase authorization and payment processing.