Computer Hardware Replacement Selection Form

Please submit this form at your earliest convenience to facilitate faster availability of your computer replacement. Please keep in mind that in many cases we may need to order your equipment first, receive it, image it and then set it up for your use. Prompt completion of this form will speed the overall replacement process.

L Number

First Name

Last Name

Email Address

Contact Phone

Department

Position

Building Number

Room Number

Hardware Selection

Computer Selection

Lenovo Laptop

Lenovo Desktop

Additional Technology Needs

NOTE: MOST ADDITIONAL/SPECIAL TECHNOLOGY NEEDS WILL REQUIRE FUNDING FROM YOUR DEPARTMENT AND MAY DELAY DELIVERY OF YOUR REPLACEMENT. APPROVAL FROM YOUR DEAN/MANAGER IS REQUIRED BEFORE THE ADDITIONAL EQUIPMENT WILL BE ORDERED.

FOAP

For additional hardware, please include the FOAP for the purchase.

Additional Technology Needs Description

Please enter any additional information to describe the technology needed here.

Dean/Manager Email

Please enter your Dean/Manager's Lane email address here

Primary Printers you use on campus

Listed by building number and room. Please select all that apply.

Document Imaging

Is document imaging a function of your job?

(only available for PC/Dell computer selections)

Yes

Base Software Image includes:

Operating system, Microsoft Office, Chrome and Firefox browser, Anti-virus software, Adobe Reader and Adobe Creative Suite.

Specialized Software

Do you need software installed in addition to the standard base image described above? If yes, please indicate the specific software packages below.

Comments

Please enter any additional comments/information you would like to share with us.

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