LITS Nonstandard computer request form
Department *
Your answer
Person or position name associated with computer
Your answer
Person submitting this form
(if different from above)
Your answer
Desired install date
Your answer
Location: building - office #
Your answer
Replaces existing computer or new additional computer?
Standard configuration *
How will this computer be used?
If this request requires additional cost, who do you expect to fund the difference?
Non-standard configuration
Please elaborate on the special configuration requirements of the requested computer.
Your answer
Please write a brief description explaining why an off cycle or non standard computer is needed.
Your answer
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