Minor Equipment Tag Request

Equipment Name

Description

Cost $

Serial Number

Serial number of item (on Dell computer use Service Tag Number)

Model #

Manufacturer

Date Aquired

Department

Building

Building equipment is housed in.

Room #

Room where equipment will be located

Speed Sort

Speed sort of building where equipment will be located.

Cost Center

Enter cost center item was charged to.

Employee Responsible

Employee using or responsible for this item.

Requested by

Your name.

Purpose

Briefly describe the intended use of the equipment. (Maximum 500 characters).

Administrative Offices