Page:
of 1
Revised March 2009
LAPTOP COMPUTER ASSIGNMENT
FORM
Please enter the following information and submit this form with
signatures to the Director of
Institutional Technology or Administrative Computer System
Administrator.
Employee Computer Assigned To:
__________________
_______________
Job Title:
________________________________
_
Employee’s
Department
:
____________________________
_____
I
agree
that I have reviewed computing standards
contained in
Section 11 of
the Employee
Procedures Manual
and
will adhere to t
he
se
“
C
omputer
S
tandards
and
P
rocedures”.
Furthermore,
I
will not disclose
my
personal password in any way, to anyone, and will not allow
anyone to access the system under my password.
Finally
I will not leave my
laptop
computer
unattended while my user a
ccount is active.
Signatures:
User:
________________
______
Date: ____/____/________
User’s Supervisor:
________________________
Date: ____/____/________
Approved by:
_______________________
Date: ____/____/________
************************** The area below is for IT internal use only
**************************
Laptop Information:
Computer Name: _________________________________
IP Address:
_________________________________
Asset T
ag
# (856): ________
_________________________
M
odel/Serial #:
_________________________________
IT Person
:
_________________________
Date: ____/____/________