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Equipment Request Form
This form has been modified since it was saved. Please review all fields before submitting.
TO BE COMPLETED BY BRANCH MANAGER OR (for SSC) DEPARTMENT SUPERVISOR.
Use this form to request all furniture, displays, shelving units, book trucks/carts, software, printers, scanners, etc. Also use the form to request items costing more than $500.
Use one form per item. All fields required.
-- Select One --
Cedar Grove/Line Avenue
Select your "Home" branch, or appropriate designation.
-- Select One --
I. Details of Request
For which individual, if applicable:
Please thoroughly describe the item. List dimensions, colors, and finishes if applicable
Web address (/link)
Price per item
Prices may be obtained from the vendor’s website or catalog. If unknown, key in $0.00
II. Justification and priority.
What is the rationale and justification for the request? Where does this fit as a priority among other equipment requests?
- Absolutely essential; work has stopped already due to need for this item. This may include repair or replacement of irreparable hardware, or a sole copy of software.
- Work will stop without this item by a date (may include hardware for SIRSI or OCLC, required by their software or by the city/parish)
- Work will be hindered with this item (may include upgrades of software/hardware).
- New item to enhance productivity.
- New item for a new project
5 - High Priority
4 - Medium-High Priority
3 - Medium Priority
2 - Medium-Low Priority
1 - Low Priority
Please check one to choose the priority level of this item. In this scale, 1 is the lowest priority and 5 is the highest priority.
By clicking "submit," this form will be routed to your Area Manager/Supervisor for review and approval.
FOR MANAGEMENT USE ONLY
RECOMMENDATION: APPROVED / NOT APPROVED / APPROVED WITH CONDITIONS
Supervisor Name: ____________________________
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