IT Requisition Form _P3_ by keara

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									Information Technology Services

IT Requisition Form
Please FAX this form and associated paperwork to 9214 8944 once completed for faster processing. Alternatively, you can mail this form to IT Procurement via Internal Mail Number H37 or to the ITProcurement GroupWise mail box at ITProcurement@swin.edu.au

P3

PLEASE FAX ONE ORDER AT A TIME AS ITP STORE THESE REQUISITION FORMS ELECTRONICALLY SECTION 1 – General Details
1.01 Date 1.02 Requested By 1.03 Department / School 1.04 Phone 1.05 Mail Number

SECTION 2 – Requisition Details please tick only one box per section.
2.01 Requisition Type 2.02 Item Type 2.03 Funding Type Purchase Hardware Department Funding SOE Central Funding (SOE Funding is only available to some Corp and Higher ED staff). * Please refer to SOE Funding amount on the IT Procurement Catalogue. http://www.its.swinburne.edu.au/it_procurement/staff/catalogue/index.html SOE Central Funding + Department Funding (For items above the SOE Funding amount - this will be withdrawn from your account upfront) Lease - New Software Lease - Replacement Server Maintenance Lease - Buyout Software Maintenance Other Other

SECTION 3 – Delivery Details All orders are delivered to your assigned campus technician. The technician will then deliver and install your equipment.
3.01 Campus 3.02 Special Instructions Hawthorn Prahran Lilydale / Healesville Wantirna Croydon

SECTION 4 – Authorisation by appropriate financial delegate. Account code required for items not centrally funded, or items that are above the SOE amount.
4.01 Name (please print) 4.02 Account Code 4.03 Signature 4.05 Date Signed 4.04 Position Title X X X X X

SECTION 5 – Supplier Details please attach a quote if not from a designated supplier’s price list. Please use only one IT Requisition form per supplier.
5.01 Supplier Name 5.02 From ITP Catalogue?
ITP Cat No Version Platform Qty

Yes
Unit $ (ex GST)

No (attach quote)
Total $ (ex GST)

SECTION 6 – Description of equipment to be ordered.

* Please fill out Form P4 on the next page as well for all hardware and software ordered for asset tracking purposes

Total

SECTION 7 – Compliance to ensure equipment ordered will operate within Swinburne’s IT environment. Please see form P5 for a list of authorised officers.
7.01 Technician Name 7.02 Comments 7.03 Compliant? 7.04 Signature Yes No

SECTION 8 – Server Sign Off within IT Services, only Infrastructure staff can sign this section. No signature required if ordering non server related hardware
8.01 System Administrator 8.02 Signature

PLEASE FILL OUT ONE SECTION PER PIECE OF HARDWARE OR SOFTWARE ORDERED FOR TRACKING PURPOSES Information Technology Services, IT Procurement, P3 – IT Requisition Form
Version 5, 2 March 2009 Req No: _______________________ Purchase Order Number _____________________

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Information Technology Services

IT Requisition Asset Tracking Form
Please FAX this form and associated paperwork to 9214 8944 once completed for faster processing. Alternatively, you can mail this form to IT Procurement via Internal Mail Number H37

P4

SECTION 1 – Client Information please fill out the below information for each piece of hardware or software that you are ordering for tracking purposes
1.02 User Name, Server Name or Lab Name 1.03 Faculty, Department or School Name 1.04 Campus 1.05 Phone 1.06 Room 1.07 Position Title

If you are ordering Hardware and you are claiming SOE Central Funding (Higher ED or Corporate only) please have the Head of Faculty, Department or School sign below By signing below you confirm either a) section 1.02 above refers to a recurrently funded, non project staff member entitled to one SOE funded PC or notebook as detailed in the SOE Lease Funding Policy, OR b) section 1.02 above refers to an Open Access Computing Facility (Please see the Policy and Procedures database for more information). You also agree that in the event SOE funded PC or notebooks requested on this form are lost or stolen or otherwise unrecoverable, you agree for ITS to end the lease arrangement with the financier, and you agree for ITS to journal your department for the ‘buyout price’ (set by the financier) to end the lease. 1.08 Name 1.09 Signature If you are ordering Software please fill out the information below 1.10 Type of Device the software will be installed on 1.11 Serial Number of Device (Mandatory) PC Desktop PC Notebook MAC Desktop MAC Notebook Server Pocket PC Other

SECTION 1 – Client Information please fill out the below information for each piece of hardware or software that you are ordering for tracking purposes
1.02 User Name, Server Name or Lab Name 1.03 Faculty, Department or School Name 1.04 Campus 1.05 Phone 1.06 Room 1.07 Position Title

If you are ordering Hardware and you are claiming SOE Central Funding (Higher ED or Corporate only) please have the Head of Faculty, Department or School sign below. By signing below you confirm either a) section 1.02 above refers to a recurrently funded, non project staff member entitled to one SOE funded PC or notebook as detailed in the SOE Lease Funding Policy, OR b) section 1.02 above refers to an Open Access Computing Facility (Please see the Policy and Procedures database for more information). You also agree that in the event SOE funded PC or notebooks requested on this form are lost or stolen or otherwise unrecoverable, you agree for ITS to end the lease arrangement with the financier, and you agree for ITS to journal your department for the ‘buyout price’ (set by the financier) to end the lease. 1.08 Name 1.09 Signature If you are ordering Software please fill out the information below 1.10 Type of Device the software will be installed on 1.11 Serial Number of Device (Mandatory) PC Desktop PC Notebook MAC Desktop MAC Notebook Server Pocket PC Other

SECTION 1 – Client Information please fill out the below information for each piece of hardware or software that you are ordering for tracking purposes
1.02 User Name, Server Name or Lab Name 1.03 Faculty, Department or School Name 1.04 Campus 1.05 Phone 1.06 Room 1.07 Position Title

If you are ordering Hardware and you are claiming SOE Central Funding (Higher ED or Corporate only) please have the Head of Faculty, Department or School sign below. By signing below you confirm either a) section 1.02 above refers to a recurrently funded, non project staff member entitled to one SOE funded PC or notebook as detailed in the SOE Lease Funding Policy, OR b) section 1.02 above refers to an Open Access Computing Facility (Please see the Policy and Procedures database for more information). You also agree that in the event SOE funded PC or notebooks requested on this form are lost or stolen or otherwise unrecoverable, you agree for ITS to end the lease arrangement with the financier, and you agree for ITS to journal your department for the ‘buyout price’ (set by the financier) to end the lease. 1.08 Name 1.09 Signature If you are ordering Software please fill out the information below 1.10 Type of Device the software will be installed on 1.11 Serial Number of Device (Mandatory) PC Desktop PC Notebook MAC Desktop MAC Notebook Server Pocket PC Other

PLEASE MAKE ADDITIONAL COPIES OF THIS PAGE AS REQUIRED OR DOWNLOAD ADDITIONAL PAGES USING FORM P4

Information Technology Services, IT Procurement, P4 – IT Requisition Asset Tracking Form
Version 5, 2 March 2009

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