Equipment Request

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Equipment Request This form is to be used to request computers, printers, software, telephones, cable TV connections and computer wiring. This form does not constitute approval for purchase. Indicates required fields.

Your name:
Email address:
Person requesting equipment:
Email address:
Requester's Telephone No:
Is this equipment: New Replacement

Most purchases require a budget revision. In order to further process this request we will need the budget information listed below. These fields are required for submission of this form.

Budget No: Fund Function Object
Name of this account:
Justification for this purchase:
Who has Primary authority over this account?
Who has Secondary authority over this account?

Please indicate which equipment you wish to purchase. Select only those that apply.
Computer None Laptop Desktop Printer (Volume) None High-200,000 Medium-150,000 Low-40,000 Phone None 420 410 401 Student Phone Long Distance Yes No Software Cable TV or Computer Wiring Other
Special Instructions(please list any additional information you feel would be pertinent to this purchase or any questions you may have regarding this equipment.)
You will receive notification from the appropriate department regarding your purchase. This notification will include the cost of the item you wish to purchase. If you have further questions after you have received notification please call one of the following: Computer Equipment-Desktop Support Services- 5183 Telephone,cable and wiring- Communication Technology Services- 5248

Equipment Request

This form is to be used to request computers, printers, software, telephones, cable TV connections and computer wiring.