EPMO Service Request Form

EPMO Service Request Form

The UCSF Enterprise Program Management Office (EPMO) is an internal business advisory unit of skilled professionals who provide consulting services to the UCSF enterprise. Service descriptions and examples of past projects are posted on our website, epmo.ucsf.edu

Please use this form to request our services. Please complete the request form to the best of your ability.

Once submitted, the EPMO will contact you to discuss your request.

Your Name*

Department/Unit/Team Name*

Email Address*

Please tell us your UCSF email address so we can contact you about your request.

Please describe the nature of your request:*

What problem are you trying to solve?

What is happening currently that you wish to change/improve?

What is the desired goal/ outcome/ deliverable of the work?

Anticipated Start Date or Timeframe

Provide specific start date and/or the anticipated timeframe for the work (how long do you anticipate this work will take?)

Project Deadline

If applicable, when is this project expected to be completed by?

Stakeholders

If known, please provide any of the following:

How many stakeholders will be involved in the work?

Who are the stakeholders for this project?

How many units/depts./teams will be involved in this work?

Has a Sponsor been identified?

Select or enter value

Has funding been identified?

Fees for services will be evaluated based on the complexity and time commitment of the request.

Select or enter value

Send me a copy of my responses

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