Submit a request – DotCIO - IT Services and Support Center

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Your email address

Detailed Description

Please provide specific details about this issue (error messages, steps taken to troubleshoot or previous solution(s) attempted) or specific request/work to be done.

Subject

Contact Name if different from submitter

Contact Email if different from submitter

Contact Department if different from submitter

Software Name

Software version

Software Description and any additional modules

Software Purpose

Software Usage

Course Title

Course Number

Course Sections

Project Title

Research Title

Other, please describe

Integrations with other applications

Source of funding

User Base - required access permission

Course User Base (select all that apply)

Department User Base (select all that apply)

Research User Base (select all that apply)

Other, please describe

Software at the stage of vendor information and installation (Yes/No)?

Vendor Name

Vendor Sales Rep

Vendor Email

Vendor Phone Number

Vendor Website

Requested Accessibility Compliance Report (based on VPAT 2.0 or newer)

License Package(s)

License Restriction

Other License Restriction (please describe)

Cloud availability/Operating System (select all that apply)

Number of Licenses/Users

Deadline date for installing

Reason for deadline

Single Sign-On integration (Yes/No)

Vendor Quote and Terms and Conditions attached (Yes/No)

Attachments

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