Upgrade Request
This form is used to request new equipment or to upgrade existing equipment. If currently
unsupported software or hardware is requested please skip down to number 3.
1. Requestor Information
1.1. Please identify the person submitting the request.
Name
Phone Number
2. Upgrade
2.1. Please identify the person for whom the upgrade is requested.
Name
Username
Office Location
Phone Number
Full Time or Part Time
Administrator, Faculty,
Staff, Student, Other
2.2. If this is a piece of equipment to be upgraded please list:
Model of current equipment
Current LCC Tag #
What task do you perform that
requires the upgrade?
2.3. What new equipment are you requesting? Please check all that apply.
CDLaptop
ROM/DVD
Hard Drive
Desktop
Monitor
Memory
FAX
Printer
Network Drop
Present (Yes/No)
Copier
Phone
Other
2.4. Comments.
3. Hardware/Software
3.1. Describe the current problem.
3.2. Why can't the problem be solved with standard LCC hardware/software?
3.3. Is this hardware/software being proposed to be used for direct instruction?
3.4. Please describe the hardware/software being proposed (manufacturer, model numbers,
version, etc).