This form is to be used to add or remove software contacts for your department(s) and authorize them to order software electronically and deplete departmental funds for the software costs. Departments are responsible for notifying the IT Division when personnel changes occur. Please list the department(s) covered by this request:
Department Name(s) Dept. Number(s) Date: 4/17/2020
Please list employees to have authorization added (A) or removed (R) as software contacts for all the above departments:
First and Last Name Phone # NDSU Email Address A=Add
R=Remove
IT Div.
Use
I have the authority for the departments listed and authorize the individuals listed to order software from the IT Division electronically and authorize the depletion of departmental funds for the related software license costs.
Printed Name: Signature: Date:
(VP/Dean/Director/Department Head)
Please complete the form, print it, sign it, and send it to NDSU IT Software Licensing, IACC 206, NDSU Dept. 4500, PO Box 6050,
Fargo, ND 58108-6050 (Fax: 231-8541). If you have questions please call NDSU Software Licensing, 701-231-8685 Option 4. www.ndsu.edu/its/software/
Last Revised: 05/15/2012 File: NDSU Software Contact Appointment Form.docx