Non-Standard Equipment and Software Purchase Request Requester informationName * Required First Last Email * Required Phone * Requiredentered as “(540)654-1000”Is the Requester the authorized SPCC cardholder for the department or FOAPAL? Yes No Department BuyerPlease identify the authorized purchasing agent for the department or FOAPAL who is an SPCC cardholder.Department Buyer Name * Required First Last Department Buyer Email * Required Department Buyer Phone * RequiredRequest DetailsPlease complete the questions in this form to the best of your knowledge – it will help the IT staff review your request more quickly. Please understand that some items requested require in depth analysis by the IT staff to understand if your request is compatible with UMW systems, the types of data and security measures necessary, or the extent that network or IT personnel resources will be needed to support the request. You may be contacted by one or several IT representatives as part of this review to better understand your needs and requirements. We will work to review your request as quickly as we can, but you should receive an update on the status of your request within 3 business days. Please understand that if a review is extensive, it may take more time to complete the review.What is the general category of your request? * Required Software (including network, hosted, and web applications and subscriptions; services; and renewal of maintenance) Audio-Visual Equipment Non-Standard Computer Printer/Scanner Mobile Device RAM Upgrade Other SoftwareName of Software * RequiredVendor/Supplier of Software * RequiredWeb address for software information * RequiredPlease include the web address for the software, service, or subscription. Is this a new software purchase or a renewal of an existing license/subscription? * Required New Software License/Subscription Renewal of Existing License/Subscription Service Term * RequiredWhat is the time period covered by this purchase? Or, if this request is for a specific period, please indicate the start and end dates.Intent to renew * RequiredDo you plan to renew this software/license/subscription after the initial license/subscription period ends? Yes No Don’t know Use Case/Purpose * RequiredPlease describe the need for the software your are requesting. what is the purpose/use of the software?Does UMW/your department grant access and assign user roles in this software? * Required Yes No I don’t know Can you access the software anytime? * Required Yes No I don’t know Can you make configuration changes to or customize the software? * Required Yes No I don’t know Install locationWhere will this software be installed? On a computer or group of computers On the UMW network (either on a network share or on a dedicated server) Web-based service or subscription Other Not sure Integration with existing systems * RequiredDoes this application need to integrate with any University system? Will your application ever need to pull faculty/staff or student data from the University into the requested application, or feed such data from the requested application into a University system? Will this application collect information that would be reported to a 3rd party? Yes No Don’t know Integration requirements * RequiredPlease list the systems with which the requested software will need to integrate (such as Banner, EagleOne, etc.). Also list the types of data (such as names, addresses, phone numbers, etc.) and the direction of data flow (from requested software to existing system, from existing system to requested software, etc.).Sensitive data storage * RequiredWill this software collect or store highly sensitive data (SSNs, Passport Numbers, Driver’s License Numbers, financial account numbers [credit card numbers, debit card numbers, banking account numbers], and full name in conjunction with corresponding full date of birth)? For definitions of “highly sensitive data”, please see the Electronic Storage of Highly Sensitive Data policy (opens in new window). Yes No Not sure License/Subscription/Maintenance Agreement * RequiredDoes this software include a license, subscription, or maintenance agreement that needs to be signed prior to purchasing? If yes, please attach the agreement to the request. Yes No I don’t know Procurement Path * RequiredIf a procurement path has been identified/approved for purchase of this software, please indicate that path. Existing Contract Micro Quote Obtained (attach quote) Only funding has been identified (FOAPAL) No path identified Software installed on a computerThis software purchase is: One copy for a single user Multiple copies for multiple users Public/lab/classroom use Other OtherSoftware descriptionPlease describe this software and where this software will be installed. Also include links to any products to be purchased.Single copy for single userName of User First Last Location of User's computerPlease enter the building and room number for the computer.Serial number/Service tagPlease enter the serial number or service tag for the target computer.Computer platform Windows Mac OS Multiple copiesUsers and systemsPlease list the names of all users, location (building and room), serial number of computer, and platform (PC or Mac), as in the example.A. Staff, GW 100, A234EF7, Windows C. Staff, Lee 540, W1234ABCD567XYZ, MacMinimum requirementsDo you know if the target computer meets the minimum requirements for the software? Yes No Don’t know Public, Lab, Classroom softwareNumber of licensesPlease enter the number of licenses you are requesting.License detailsPlease describe any specific license details here (educational discount, network license server, concurrent users).License assistanceHave you worked with a representative of the software company or someone in DoIT to identify the proper license for university use? Vendor/Manufacturer UMW DoIT Other Who assistedPlease indicate all with whom you have worked to identify licensing for university use.Location of computersPlease enter the building(s) and room number(s) for the computers.Computer platform Windows Mac OS Minimum requirementsDo you know if the target computer meets the minimum requirements for the software? Yes No Don’t know Software installed on the UMW networkNumber of licensesPlease enter the number of licenses you are requesting.License detailsPlease describe any specific license details here (educational discount, network license server, concurrent users).License assistanceHave you worked with a representative of the software company or someone in DoIT to identify the proper license for university use? Vendor/Manufacturer UMW DoIT Other Who assistedPlease indicate all with whom you have worked to identify licensing for university use.Web-based service or subscriptionNumber of licensesPlease enter the number of licenses you are requesting.License detailsPlease describe any specific license details here (educational discount, network license server, concurrent users).License assistanceHave you worked with a representative of the software company or someone in DoIT to identify the proper license for university use? Vendor/Manufacturer UMW DoIT Other Who assistedPlease indicate all with whom you have worked to identify licensing for university use.Not sureAfter you submit this form, we will contact you for more information. Unfortunately, we can’t move your request forward until we get more details from you.Audio-Visual EquipmentUse CasePlease describe the need for the AV equipment you are requesting. Also include links to any products to be purchased.Equipment LocationWill the equipment be: installed in a permanent location mobile Permanent LocationIf installed in a permanent location, please provide the building/room number.ReplacementIs this equipment replacing existing equipment? Yes No ReplacingWhat existing equipment is this requested equipment replacing?IT consulted?Have you consulted IT Support Services staff for an evaluation of needs and recommendation of equipment? Yes No IT ContactWith whom did you work on this request?Procurement PathIf a procurement path has been identified/approved for purchase of this equipment, please indicate that path. Existing Contract Micro Quote Obtained (attach quote) Only funding has been identified (FOAPAL) No path identified Non-standard ComputerDisclaimer:While IT Support Services staff will do their best to support your non-standard selection, please understand that installation, troubleshooting and repair may take longer. Also, the cost of any warranty work required outside the warranty period purchased by you is the responsibility of the department purchasing the non-standard item. The department would also be responsible for funding any special hardware or software necessary to make this equipment compatible with current UMW systems. I agree. I have questions about this. After you submit this form, we will contact you for more information about this request.DetailsUse CasePlease describe your need for a non standard computer, and why your need cannot be met by one of the standard computer options. Also include links to any products to be purchased.ManufacturerPlease indicate the manufacturer for the system(s) requested. Dell Apple Other Manufacturer selection reasonWhy will a different model computer from one of our supported manufacturers (Dell or Apple) not meet your needs?New or replacementIs this computer a new purchase or a replacement? Is this computer replacing a currently installed primary system assigned to an employee? New primary computer, not a replacement New computer, not a primary, not a replacement Replacing a primary computer Replacing an existing computer that is not a primary Replacing an existing computer, but I am unsure whether it is a primary Replacing what systemAs this is replacing an existing system, please indicate the serial number or service tag of the existing system.Special software or hardwarePlease detail any existing special software or hardware that needs to run on this computer? Note that any request for new hardware or software must be submitted independently through this form.Warranty protectionPlease indicate any warranty and/or accidental protection you are purchasing for this computer? NOTE: UMW standard computers carry a 5 year warranty on Dells and 3 year warranty on Macs.IT consulted?Have you consulted IT Support Services staff for an evaluation of needs and recommendation of equipment? Yes No IT ContactWith whom did you work on this request?Procurement PathIf a procurement path has been identified/approved for purchase of this equipment, please indicate that path. Existing Contract Micro Quote Obtained (attach quote) Only funding has been identified (FOAPAL) No path identified Printer/ScannerFunctionality NeededDescribe all functions of the printer/scanner that are needed. Example: color, black/white only, double sided printing, scanning, wireless, networked, special paper type feeds, faxing, etc. Number of UsersHow many people will use the printer/scanner?Install LocationWhere will the printer be installed?IT consulted?Have you consulted IT Support Services staff for an evaluation of needs and recommendation of equipment? Yes No IT ContactWith whom did you work on this request?Procurement PathIf a procurement path has been identified/approved for purchase of this equipment, please indicate that path. Existing Contract Micro Quote Obtained (attach quote) Only funding has been identified (FOAPAL) No path identified Mobile DeviceDisclaimer:While IT Support Services staff will do their best to support your mobile device, please understand that due to the specialization of these systems, setup, troubleshooting and repair may require you pay for service from the device manufacturer if we are unable to provide resolution to issues. Also, the cost of any warranty or accidental damage work required outside the warranty period purchased by you is the responsibility of the department purchasing the mobile device. The department would also be responsible for funding cell service, as well as any special hardware or software necessary to make this equipment compatible with current UMW systems. I agree. I have questions about this. After you submit this form, we will contact you for more information about this request.Mobile – DetailsUse CasePlease describe your need for this device, and why your need cannot be met by one of the standard mobile device options. Also include links to any products to be purchased.Data plan or cell serviceAre you requesting a device that would require a data plan or cell service? Yes No Note: Requesting a data plan or cell service requires a recurring monthly fee applied against an appropriate account.Assigned toTo whom will this device be assigned?IntegrationWill this device need to connect to UMW systems, like Email or Banner? No integration Email Banner Other Integration detailsPlease describe the integration required with this device.Warranty protectionPlease indicate any warranty and/or accidental protection you are purchasing for this device? Sensitive data storageWill this software collect or store highly sensitive data (SSNs, Passport Numbers, Driver’s License Numbers, financial account numbers [credit card numbers, debit card numbers, banking account numbers], and full name in conjunction with corresponding full date of birth)? For definitions of “highly sensitive data”, please see the Electronic Storage of Highly Sensitive Data policy (opens in new window). Yes No Not sure Procurement PathIf a procurement path has been identified/approved for purchase of this equipment and any associated services, please indicate that path. Existing Contract Micro Quote Obtained (attach quote) Only funding has been identified (FOAPAL) No path identified RAM upgradeIT consulted?Have you consulted IT Support Services staff for an evaluation of RAM needed for your computer? Yes No IT ContactWith whom did you work on this request?LinkIf the technician supplied a link to the appropriate memory, include that here.Serial Number/Service TagPlease enter the serial number or service tag of the system to be upgraded.Procurement PathIf a procurement path has been identified/approved for purchase of this equipment, please indicate that path. Existing Contract Micro Quote Obtained (attach quote) Only funding has been identified (FOAPAL) No path identified OtherUse CasePlease describe the device you are requesting, and the need for the device.WebsitePlease include the web address for more information on the device. Network connectivityWill this device need to connect to the UMW Network? Yes No Network detailsPlease describe the network connectivity required.Connecting to existing systemWill this device be connected to an existing UMW computer or system? Yes No Connection detailsPlease describe the connection and the system to which this device will be connectedReplacement or upgradeIs this device a replacement or upgrade for an existing device? This is an upgrade. This is a replacement. This is new (not an upgrade nor replacement). Replacement/Upgrade detailsPlease describe the equipment this purchase will be replacing or upgrading.Sensitive data storageWill this software collect or store highly sensitive data (SSNs, Passport Numbers, Driver’s License Numbers, financial account numbers [credit card numbers, debit card numbers, banking account numbers], and full name in conjunction with corresponding full date of birth)? For definitions of “highly sensitive data”, please see the Electronic Storage of Highly Sensitive Data policy (opens in new window). Yes No Not sure IT consulted?Have you consulted IT Support Services staff for an evaluation of needs and recommendation of equipment? Yes No IT ContactWith whom did you work on this request?Procurement PathIf a procurement path has been identified/approved for purchase of this equipment and any associated services, please indicate that path. Existing Contract Micro Quote Obtained (attach quote) Only funding has been identified (FOAPAL) No path identified Financial InformationEstimated Cost * RequiredPlease enter the estimated annual cost of the product. Use only a comma, a decimal, and numbers, such as 1,234.56.AttachmentIf you have any files to document this request (PDF quotes, license agreements, etc.), please zip those documents into one file and attach here. Please make sure the name of the file does not contain spaces or special characters, such as: “#$%*@/\”.Accepted file types: jpg, gif, png, doc, docx, xls, xlsx, pdf, zip, Max. file size: 5 MB. Maximum file size – 5 mega bytes. PaymentEnter the FOAPAL that will be used to pay for the item(s).FOAPAL 1Fund * RequiredOrg * RequiredAccountProg * RequiredActivityPercent * RequiredFOAPAL 2Please review some important guidelines (opens in new window) on orders requiring multiple FOAPALs.FundOrgAccountProgActivityPercent Δ