Valparaiso University
Equipment/Software Change Request

Requested Action:
Do NOT use this form to request reallocation (different person in different location). Reallocation requests must be submitted on the Computer Purchase/Reallocation Request form.
E-mail of person making request:
Tell us about the equipment:
Data Item Value
VU Tag Number
Serial Number (if Tag Number not available)
Description
Present (former) information:
Data Item Present Value Change to
Name:
Department:
Department Abbr.
Cluster (if applicable)
Station Number (if applicable)
Office Location:
Building Abbr.
Room Number
Phone:
Network Port:
E-mail:
Network login:
If you are requesting software, please specify in comments.
If this is an upgrade, tell us about it:
Data Item Old Value New Value
Processor Type
Processor Speed
Memory (MB)
Disk
CD-ROM (speed)
Network Card
Monitor Size (inches)
Sound Card
Comments (Anything else we should know or do?):
Note: Department will be charged for parts, any outsourced labor, and software.
Account #
This form should mail itself to the Requestor E-Mail Address which you provided above. Please recheck that address.

When you receive the confirmation copy of the form, forward it to the fiscal agent for the named account, who will forward it to EIS.Office@valpo.edu. This endorsement is required before EIS can honor the request.

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Oct 02 2001