Staff Asset Loan Request

Staff Asset Loan Request

Request to borrow an IT asset
This form is used for accountability of an IT asset such as a computer, laptop, tablet or cell phone loaned to an agency employee, contractor, intern or other stakeholders requiring an ASDB asset.

Please do not use this form to request other items or services from IT.

If you require an ID Badge or Proxy Card please submit an ASDB Employee ID-Proxy Card Request

If you require an account to access network resources such as email (gmail) or Google Drive please submit ASDB Enterprise Account Agreement

If you require a video relay service (VRS) unit or software please submit an ASDB VRS Request
Requester Information (Asset Issued To)
Date of Request*

MonthDayYear
Requester Position

ASDB StaffContractorInternVolunteer
Requester Name*

First NameLast Name
Requester Title*
Requester Department*
Requester Email*
Please only use an @asdb.az.gov email address
Requester Phone Number*
Please enter a valid phone number.
Requester Employee Identification Number (EIN)
Requester Supervisor*
Supervisor Email*
Please only use an @asdb.az.gov email address
Assigned Campus or Region*
Select your assigned Region or Campus
Asset Request Information
Date requester expects to receive equipment *

MonthDayYear
Device Requested - Check all that apply*

LaptopDesktopChromebookiPadMonitorDocking StationWeb CamCell PhoneHotspotOther Item
Agency Asset Tag
Please provide any further information IT needs to support your request.
Do you provide instruction or other services directly to students either in the classroom, virtual, your office or other work area?

YesNo
ASDB Asset Loan Responsibility Acknowledgement*
IT USE ONLY

Equipment Assigned
Asset Type
Manufacturer
Model Name or Number
Serial Number
Other Equipment Issued
IT Technician Notes
Status
Should be Empty:

Staff Asset Loan Request

This form is used for accountability of an IT asset such as a computer, laptop, tablet or cell phone loaned to an agency employee, contractor, intern or other stakeholders requiring an ASDB asset.

Requester Information (Asset Issued To)

Asset Request Information

IT USE ONLY