INSTRUCTIONS: This form must be attached to all technology-related requisitions, including hardware, software, and services. Computer supplies, disks, ribbons, stock paper, etc., do not require this form. All appropriate signatures must be obtained pr

INSTRUCTIONS: This form must be attached to all technology-related requisitions, including hardware, software, and services. Computer supplies, disks, ribbons, stock paper, etc., do not require this form. All appropriate signatures must be obtained prior to submission to Purchasing. Purchasing will reject purchase requisitions without the approval form or incomplete approval forms. Detailed instructions are outlined on the back of this form.

CONTACT PERSON NAME

EXTENSION

DEPARTMENT

MAIL CODE

DEPARTMENT HEAD/DEAN APPROVAL

DATE

FUNCTION

User name

Installation Location

Describe in specific terms what this product or services will accomplish.

 

 

 

 

 

 

 

 

FOR HARDWARE ONLY

MAINTENANCE Describe your maintenance plans and source of funding

 

 

 

 

 

FOR COMPUTERS ONLY

COMMUNICATION Check the computers/networks with which you plan to communicate, and explain your specific needs.

[ ] ISIS (Academic System) [ ] OASIS (Administrative System) [ ] BITNET [ ] INTERNET

 

 

 

 

FOR IRM USE ONLY

COMMENTS

 

 

 

REVIEW: ATS_________________ ASG_______________ COMM______________ OTHER___________________

APPROVAL: IRM__________________________________________________________ DATE____________________

(3377-10 9/92 White - Purchasing Canary - ATS/ASG/COMM Pink - User