UWG EDP Request Form

University of West Georgia

Individual Responsible for Equipment/Software:
Name:
Email Address:
Phone Number:
Fax Number:
Department:
Equipment/Software Location:
Estimated Cost of Equipment/Software:
Primary Use of Requested Equipment:	Please select one:
Funding Source:	Please select one:

Equipment/Software Requested:

Does the equipment above include a CPU?: Yes No

Work to be Performed:
This is a short description of how the requested equipment will be used.

Will an outside vendor install this equipment/software?: Yes No

Who will maintain and update this equipment/software? :

Data Communications/Networking Will the equipment be connected to a campus network?
Will the equipment/software be installed according to the institutions information technology security guidelines?
Technical Review Please review this equipment for technical accuracy.
Email Copy Would you like a copy of this mailed to you?

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edp@westga.edu, or if your browser does support mailto,
select the email address above.