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

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)
Black and White
Estimated Black and White pages/month:
Estimated Color pages/month:
* Explanation of need and usage requirements, other info, etc: