Request for Computer Equipment Form

Employee Name:
Employee Unit:
Start Date:
Location: (for jack box activation)
Supervisor Name:
Budget Account Number:

Accounts needing access to:  Livelink  CorporateTime  Ultratime

Shared space on server? (solicit1)  Yes  No

Is there existing Equipment for this position?  Yes  No

Please contact the Development Help Desk for available equipment in the department inventory (previously used) or if you have any questions on the new equipment choices.

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For Employees requiring new Equipment see below:

Computer Equipment Choices: (Models and prices may change based on University pricing)

Dell GX280 w/Flat Panel ($1,058.06) IBM Notebook X40 ($2,231.00)

Spec=s: 3.2 Ghz, 1 gig RAM, 80 GB HD Spec=s = 1.4 Ghz, 1024 MB RAM, 40GB HD

19" Flat Panel Monitor with Media Slice

Standard Keyboard, Mouse

Dell GX280 w/out FP Monitor ($653.87)

Optional Gateway Purchases Optional IBM Notebook Purchases

 17" Flat Panel Monitor ($264.00)  17" Flat Panel Monitor ($264.00)

 19" Flat Panel Monitor ($352.00)  19" Flat Panel ($352.00)

 Wireless Keyboard & Mouse ($73.15)  Wireless Keyboard & Mouse ($73.15)

 Additional Power Supply ($45.29)

 Extended life Battery ($172.88)

 Travel Mouse ($28.07)

Printer Options:

HP DeskJet 5650 ($114.50)  HP LaserJet 1012 ($176.25) entry level

up to 15 ppm 15 ppm, 8 MB RAM, 150 sheet tray

Link to Color Network Printer (no charge)  Link to network printer in work room (no charge)

HP LaserJet 2420 ($510.79) mid-range  HP LaserJet 4250n ($1,400.15) high volume

30 ppm, 32 MB RAM, 350 sheet tray 35 ppm, 48MB RAM, 600 sheet tray

HP LaserJet 3700dn Color Printer ($1,600)  Optional 75 sheet Envelope Feeder ($218.66)

16 ppm, 128 MB RAM, 350 sheet tray

Please return this form to the Development Help Desk - 309 Grace Hall a minimum of 3 days notice is needed for existing equipment and a minimum of 2 weeks notice is needed for new equipment that needs to be ordered.

Information Services Management approval ______

Clarify Case #______Date Received______(Revision Date 06/06/05)