---
sourceDocument: Australia Employee Service Management
sourceDocumentLink: https://servicenow-prod.fluidtopics.net/r/pt-BR/employee-service-management

 Release :

    - australia

ft:locale :

    - pt-BR

ft:publication_title :

    - Australia Employee Service Management

ft:clusterId :

    - emplsm

bundleId :

    - emplsm

workflow :

    - Employee


---

# Chemical request form

# Chemical request form {#ariaid-title1}

* Versão de lançamento: Australia
* 
* Atualizado 12 de mar. de 2026
* 
* ![](https://www.servicenow.com/docs/portal-asset/ico-clock) 1 min. de leitura

Field and description for a chemical request form. The chemical request form is used by an employee to request for an existing or a new chemical.
{#hs-chemical-request-form__table_zlw_tjl_lhc__entry__2}

| Field | Description |
|-|-|
| Select Chemicals | Lists the names of existing chemicals |
| New Chemical check box | Option to request a chemical that is not in the existing list |
| New Chemical | Name of the chemical that is not in the existing list Nota: This field appears when New chemical check box is selected |
| Upload | Button to upload a Safety Data Sheet (SDS), if available |
| Approvals due | Date on which approval is needed |
| Location | Name of the location the chemical will be used in |
| Cost Center | Department in your organization that pays for the chemical request |
| Usage Details ||
| Describe how the chemical will be used | Description on the use of the chemical |
| Purpose | Options to select the purpose of the chemical request |
| Container Type | Type of container holding the chemical |
| Frequency of Use | Determines how often a chemical will be used. |
| General period of use | Period when the chemical will be in use |
| Start date of use | Specific start date for the use of chemical |
| End date of use | Specific end date for the use of chemical |
| Volume details ||
| Physical state | Physical state of the chemical For example, If the chemical is Gasoline, the physical state is Liquid. |
| Overall Expected consumption | Value and unit of chemical consumption |
| Overall Quantity | Total quantity required by the organization |
| Quantity unit of measure | Unit of measure for the quantity |
| Additional Details ||
| Risk assessment | Option to associate a risk assessment Use the icon to preview the risk assessment record |
| JSA | Option to associate a job safety analysis (JSA) Use the icon to preview the JSA record |
| Additional information | Description of additional information relevant to the chemical request |
| Attachment | Any additional documents to be attached for the chemical request. |
[Tabela 1. Chemical request form]

{#hs-chemical-request-form__table_zlw_tjl_lhc}