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 these “Computer Standards and Procedures”.
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 account 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 Tag # (856): _________________________________
Model/Serial #:
_________________________________
IT Person: _________________________
Date: ____/____/________
Revised March 2009