ITS Service Request Form
This form is to be used to request IT resources for body of work relating to some facet of the IT
infrastructure. This form is to be used when the requested service or device is not currently provided
by our standard portfolio of services.
Please complete this form in order be begin the process of scoping, prioritizing, acceptance and
scheduling of your request. This request will be reviewed within five days to determine if the if this
request exceeds five working days of effort. Referred to as 5 in 5. If this form exceeds effort beyond
five days it will be referred to a full project scoping exercise and ELT prioritization
Name: Leader Name:
Department/School: Received Date:
Request Date: Request Completion Date:
Does this service currently exist?
Is this service request for:
New Upgrade Change Cabling Renovation Consultation
Does this service interact with any part of the IT infrastructure at Fleming?
Who will use this service?
Staff Students Admin Public Other
Category of Request:
Software Hardware Configuration
Please fully detail the request
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Directors Checklist (IT use only)
Request number(year +#):
Request received date:
First available resource:
Review compete data:
SOW complete and signed off:
Estimated number of work days to complete:
Functionality not available currently:
Fit with Fleming:
Knowledge base updated:
Is there Fleming support requirements for this
Support catalogue updated:
The scope needs ELT approval
Recommendations Reviewed by
Jason Orchard :
Approved and Scheduled: George MacDougall:
Technology review session:
Is there budget for this requested service?
Are there staffing implications because of this request?
Is this a capital item (over $1000.00)? If yes, what is the Capital approval number?
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