Device Request

"*" indicates required fields

Department Name*

Department ID*

Please enter the department's 8-digit ID

Physical Address*

Street Address Building Name, Room Number, Floor City ZIP Code

Please include complete street address, including Bldg. Name, Floor, Room Number where device will be located

Requestor Name*

First Last

Phone*

Email*

Name of Business Manager*

First Last

Phone*

Email*

Name of Financial Approver (MyUF Payment Solutions)*

First Last

Phone*

Email*

IT Support Phone #*

IT Support Email*

Is there an "active network port" available where the device will be located?*

Yes

Make/Model of existing printer/copier being replaced
Serial number of existing device(s) being replaced
Bldg./room number of location of device(s) being replaced
Approximate monthly volume (b/w & color) images being printed/copied (hint: check prior invoices)
Total meter count on device
Accessories Needed, e.g., 3-hole punch, Envelope Tray, Additional Paper Tray, Cart/Stand

Scope of Request*

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