Loaner Equipment Request for Part-Time Employees/Temporary Computer Checkout

Loaner Equipment Request for Part-Time Employees/Temporary Computer Checkout

Contact Information

Please complete the contact information section. We will contact your dean/manager for authorization then proceed to handle your request.

Your Name*

Please enter your first and last name.

Your Email Address*

Your Contact Phone*

Requesting for someone else (what is their name?)*

Please include First and Last name. If it is for you, please put your name.

What is the L# of the person using the hardware?*

Please provide the L# of the user who is going to be using the hardware.

Requested start date

What is the scheduled start date of this person if they are a new hire.

Building*

Please enter the building number where the user's office is located.

Room*

Please enter the room number of the campus office.

Dean/Manager Name*

Who is their Dean or Manager?

Dean/Manager Email*

Dean or Managers email

Dean/Manager Contact Phone

Equipment and Pickup/Delivery Request

Please select the equipment you are requesting and your preferred method and date to receive the equipment.

What Equipment are you Requesting?*

Please select all that apply

Select

Notes/Business justification for Special request

Example: Mac being requested and justification for said equipment

Pickup or Delivery?*

Pickup

Requested pickup or delivery date

Please allow a minimum of 5 days from the date of this request to allow time for equipment preparation. We will contact you to finalize the pickup or delivery arrangements.

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