Employee Technology Request Form

Employee Name *

• First
• Last

Supervisor Name *

• First
• Last

Supervisor Email *

Employee Building/Room

Employee Mail Location

Employee Title

Employee Start Date *

Equipment Delivery Date Requested

Equipment takes approximately 1 week to arrive after filling out this form, depending on availability of hardware requested. Additional time may be required for special equitpment, or Apple computers. You will be notified if hardware cannot be obtained by your requested delivery date.

Computer

• Use existing computer/laptop
• Desktop PC
• Standard laptop
• Lightweight laptop
• Mac Desktop
• MacBook Pro laptop

If using an existing computer, please enter the service tag number:

Special Instructions

Special hardware or software packages (i.e. docking station for laptop, larger monitor, etc. Note: some additional items may need to be purchased by the department. Supervisor will be contacted if this is the case.)

Department drive, R:\

folder 1, folder 2, folder 3. . .

Collaboration drive, Q:\

Academic drive, T:\

Network Drives/Folders Special Instructions

Phone

• New Cisco IP Phone and phone number, with voicemail
• Use existing phone

If using existing phone, please enter extension:

Please enter the budget number for operational expenses (i.e. long distance)

Phone and Voicemail Special Instructions

Specials needs phone (i.e. TTY), configure a 2nd second line button, picks-up other lines, part of a contact center, etc.