UPrint Equipment Request
UPrint Equipment Request Form
Please use this form to request new or replacement UPrint equipment
(Items marked with an asterisk are required.)


NOTE:
The requesting department is responsible for any space renovations needed for the new printer as well as ongoing power, network, and paper costs.


* Requester Name: (Authorized account user/manager)
 
 
* UPrint Lab Manager Name: (The person responsible for the daily usage management for this UPrint device)
 
* UPrint Lab Manager Phone:
 
* Lab Manager Email Address: (You must type in a valid email address)
 
 
* Department:
 
* Department ID Number:
  Please enter your Department ID Number.
 
 
* Department Account Number:
  Please enter your department's account number
 
 
* Address:
 
 
Type of Request: (Select one)
 
New Order /New Location
Additional order / Existing Location
 
* Services Needed: (You must select at least one)
 
Print
Copy
Black and White
Color
Scan
Fax
 
Estimated Black and White pages/month:
 
 
Estimated Color pages/month:
 
 
* Explanation of need and usage requirements, other info, etc: