REQUEST FOR DESKTOP
Please complete and submit this form.
Name
*
First Name
Last Name
Email
*
example@example.com
Is this for a NEW employee?
Yes
No
Desktop Form Factor:
SFF- Small Form Factor
Tower
Tiny
OEM Preference:
Dell
HP
Lenovo
Is your request for replacing an existing machine?
Yes
No
If yes, what is the existing device (make/model#)?
If yes, is the device still in working order?
Yes
No
Do you need a monitor?
*
Yes
No
If yes, to choose your screen size:
20-22"
22-24"
24-27"
Do you have a dual monitor setup ?
Yes
No
How many monitors do you need?
1
2
If you will be using your existing monitor or monitors, please provide model number.
Purchase or Rental?
Purchase
Rental
What applications need to be setup?
Server Access
A. Shared Folder Names
B. Mapped Drives
Any connected accessories? (Printers, Scanners, Docking Station, Other?)
Yes
No
If yes, state the accessory types and models below:
Exp. Printer - HP 1700
Is Installation needed?
Yes
No
Is a UPS (Uninterruptible Power Supply) needed?
Yes
No
User information:
a. Name:
b. Email:
c. Number:
d. Location:
User Credentials:
When is the machine needed?
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Is an asset tag needed?
Yes
No
Administrative Rights?
Yes
No
Billing code/charge-back/PO#
Additional Notes/Comments:
Heading
Submit
Should be Empty: