IT Equipment Request Form

IT Equipment Request Form
Name*

First NameLast Name
Email*
example@example.com
Supervisor's email for approval*
example@example.com
Deliver To*

Nashville OfficeOther Address
Delivery Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please feel free to discuss requests directly with Mike if you'd like help with any of these options or aren't sure exactly what you need.
Type of Equipment Needed*

ComputerMonitorKeyboard & MousePrinter/ScannerDesk PhoneTablet/iPadBattery BackupDocking StationCables/AdaptersOther
Computer Type*

LaptopDesktop
Qty
Add Docking Station?

Yes
Computer - Additional Details
Monitor Size*

22" (small)24" (big)27" (really big)Other
Qty
Monitor - Additional Details
Keyboard & Mouse - Additional Details
Printer Requirements

ColorScannerWifi Network ConnectionOther
Qty
All printers will have USB and wired Ethernet network connection.
Printer - Additional Details
Phone - Additional Details
For AT driver iPads, please use This Form instead.
Tablet/iPad - Additional Details
Battery Backup - Additional Details
Laptop Type*

LenovoDellOther
Docking Station - Additional Details
Cable/Adapter Type*

HDMI CableDisplayPort CableDVI CableThunderbolt (USB-C) CableUSB-A to HDMIUSB-C to HDMIDisplayPort to HDMI AdapterEthernet CableiPad Charger & CableLaptop ChargerOther
Cables/Adapters - Additional Details
Other Notes or Requests
Please verify that you are human*
Should be Empty: