Fillable Printable IT Service Request Form - Arkansas State University
Fillable Printable IT Service Request Form - Arkansas State University
                        IT Service Request Form - Arkansas State University

INFORMATION TECHNOLOGY SERVICES 
Computer Request Form  
Division/Department: 
Number of computers to purchase:  
Replacement? Yes         No    QIF Request? Yes         No     
Standard Computer Specifications? Yes         No   
Unique Computer Specifications ?   Yes         No           (if yes, please attach a copy of required specifications) 
Justification: 
Information on computers to be replaced: 
Fill out the first four columns on each computer being replaced. 
ASUB Tag Number 
Dell Tag 
Number* 
Will  computer(s) be 
available for recycle 
across campus? 
(Yes/No) 
Current 
Location of 
Computer(s) 
Model 
Ship 
Date 
Days left 
under 
warranty 
Condition 
of 
Computer 
* The Dell tag number is a seven character white tag found on the back of the computer. 
Approved: 
Division Chair 
Approved with alternative 
solution: 
Vice-Chancellor 
Disapproved/explanation: 
            
    
