DELL COMPUTER REQUEST FORM
Southern Illinois University
Carbondale, Illinois
(For IT - Business Use Only)
(Please refer to this number on all
correspondence related to this transaction.
FOR ALL DELL PRODUCTS
Transaction #:
All fields are required.
Signed, completed request form should be forwarded to the OIT Department for approval and processing with a saved E-quote/Web Proposal.
ALL Apple orders must include a Letter of Justification. Upon approval, the order will be filled. Send via email to it-biz@siu.edu or fax 453-3000.
IMPORTANT: Delivery discrepancies MUST be reported to within 30 days of the invoice date.
* The Budget Purpose provided below for overage will be billed through P-Card System by the OIT Department.
* Orders funded by grants MUST be approved by Grant Accounting at the Office of Sponsored Projects Administration prior to submission.
* Transaction Number and required Asset Tagging information will be entered in the appropriate fields within the P-Card System.
Instructions:
Charge Account Information
Date:
E-Quote or Web
Proposal #:
Total Price:
Brief Description:
INT 0205
10/2021
Note: To dispose of an old computer, inventory should be transferred to the Office of Information Technology Department for hard drive destruction.
Chancellor Signature DateVice Chancellor Signature Date
Vice Chancellor approval/signature is required
for orders with totals of $10,000 or more.
New Total
Price:
New E-Quote or
Web Proposal #:
For IT Use Only:
Budget
Purpose
Dept. Act. 1
(if applicable)
Dept. Act. 2
(if applicable)
Object
Code
Over-Riding
Object Code
(if applicable)
Dollar
Amount
Fiscal Officer (or Delegate) Signature
(Signature authorizes P-Card Transaction)
Date
4420
4420
4420
Program/Department:
School of:
Acct Person:
For Receipts/Invoices
E-mail:
E-mail:
Contact Person:
For Further Questions
E-mail:Requestor Name:
Delivery Address - Building Name & Room#:
Required for Inventory Tracking
Assign to Unit#:
End User Office Location - Bldg# & Room#:
Chancellor approval/signature is required
for orders with totals of $100,000 or more.
COMPUTER REQUEST FORM
FOR ALL DELL AND APPLE REQUESTS
BRM Contact
This is your local technical person or team
who you call if you need help with
technology-related issues.
click to sign
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click to sign
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signature
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click to sign
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click to sign
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