COMPUTER EQUIPMENT/SOFTWARE REQUEST

Request for a Review

Use this form to acquire computer equipment/software valued under $1000		Date received by IT: Instructions and Printing Information
USER INFORMATION (To be filled out by user.)
Name:		Title:
Dept:		Office:
Phone:		Auth. Sign.
REQUEST INFORMATION (To be filled out by user.)
Please discuss why you need the item(s) requested. Describe the item(s) as completely as possible.
PURCHASE INFORMATION (To be filled out by IT staff member.)
In response to your request for an equipment review, Information Technology has approved the following equipment:

Quantity	Item Number	Item Description	Unit Price	Total
			Total

The following vendor is suggested for the approved items:
Company Name		Address
Contact Person
Phone

Review's Comments (To be filled out by IT staff member.)

Name of Reviewer

Date

Initials