Otero College
IT Purchase Request Form
Date
*
/
Month
/
Day
Year
Date
Employee Name
*
Employee S#
*
Supervisor Name
*
Department
*
Type of Request:
*
Hardware
Software
Vendor Name
*
Vendor Information URL/Website
*
Funding Source
*
Funding Source ORG
*
Reason for Request
*
Submit
Should be Empty: