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Equipment Request Form

  1. 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.

  2. I. Details of Request

  3. Please thoroughly describe the item. List dimensions, colors, and finishes if applicable.

  4. Prices may be obtained from the vendor’s website or catalog. If unknown, key in $0.00

  5. II. Justification and priority. What is the rationale and justification for the request? Where does this fit as a priority among other equipment requests?

  6. Check one*

  7. Priority Scale*

    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.

  8. By clicking "submit," this form will be routed to your Area Manager/Supervisor for review and approval.

  9. FOR MANAGEMENT USE ONLY

  10. RECOMMENDATION: APPROVED / NOT APPROVED / APPROVED WITH CONDITIONS

  11. Supervisor Name: ____________________________

  12. Date: __________________________

  13. Conditions: ______________________________

  14. Leave This Blank:

  15. This field is not part of the form submission.