HARDWARE REQUEST FORM - Montgomery College

Check if this is submitted as part of the College’s annual planning and budget process.
For questions regarding classroom or lab hardware requests, contact:
Doug Griffith, 240-567-3176, Office of Information Technology (OITB)
E-Mail: doug.griffith@montgomerycollege.edu
SEND COMPLETED ACADEMIC REQUESTS TO DOUG GRIFFITH, OITB
For questions regarding office hardware requests, contact IT Business Services, IT Resource Management:
Requestor Information
MONTGOMERY COLLEGE
Office of Information Technology
HARDWARE REQUEST FORM
Office of Information Technology (OITB), Suite 310, Phone: 240-567-3210
E-mail: itresource.management@montgomerycollege.edu
SEND COMPLETED OFFICE/STAFF REQUESTS TO IT RESOURCE MANAGMENT, OITB 310
Requestor: Date: Ext.:
Contact Person:
Ext.:
Campus: GT RV TP/SS Off-campus Unit/Dept:
Hardware Information
Description:
Location (Building/Room) hardware is to be installed:
Check all that apply below:
1) This hardware is for installation in a staff, faculty, and/or administrative office/area.
2) This hardware is for installation in a classroom or lab.
3) This hardware is a peripheral for an existing PC/MAC. MC#______________________
4) This hardware is an upgrade or will replace an existing piece of hardware. MC#____________________
Justification and impact if not approved (required)
Funding
I am requesting this hardware be purchased with OIT funds.
This hardware will be purchased with departmental funds. A completed requisition form must be attached.
(NOTE: Short purchase orders, P numbers and Procurement Cards cannot be used to order hardware.)
This hardware will be purchased with Grant Funds. Name of Grant:
Contact Person:
Ext.:
MC Hardware Request Ver.: December 2012 Page 1 of 2

MC Hardware Request (continued)
REQUIRED Signatures:
Date Requestor (PRINT NAME) / Initial
Approve
Date Supervisor/ Dept. Chairperson (PRINT NAME) / Initial Disapprove
Approve
Date Unit Administrator/Dean (PRINT NAME) / Initial Disapprove
Date
Vice President/Provost (if $350 or over)
(PRINT NAME)
Approve
/ Initial Disapprove
FOR OIT USE ONLY
Request received by IT Business Services, IT Resource Management
Date:
IT Business Services Total Estimated Cost $
MC Hardware Request Ver.: December 2012 Page 2 of 2