IT Equipment Form

TMG USE ONLY - IT EQUIPMENT REQUISITION FORM

* Indicates required field

Requested Manager *

First

Last

Who is making the request for the employee?

Email *

Approving Director *

First

Last

Request Type *

New Hire Replacement Device

Reason for Replacement (if applicable) *

Hardware Type *

Laptop* Desktop* Hotspot Smartphone Tablet

Is a TMG Certified Refurbished device acceptable if a newer device is unavailable? *

Yes No

Peripheral Accessories Needed *

Option 1 Option 2 Option 3

Name *

First

Last

Untitled *

Name *

First

Last

Employee Name (Please list all Users of device)Ship to Department Number *

First

Last

Untitled *

Example: 030000

Contact Name & Phone Number and Full Ship To Address *

First

Last

[object Object]

Ship to Contact Phone Number *

Date Equipment Needed By *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Additional Notes *

Submit