Equipment Purchase Request Form
Please fill out all questions on this form.
* is required
Name of your Department Manager *
What type of equipment are you requesting the library purchase? *
Printer / Copier / Shredder
Computer / Monitor / Charger / Back Up Drive
Fans / Personal Heaters / Lamps
Break room supplies: Microwave / Coffee Maker / Toaster Oven
Smart Board / White Board
A/V: Television / DVD Player / Speakers / Camera / Microphone / Projector
PPE: Gloves / Masks / Personal Face Shields
Cleaning: Solution / Spray Bottle / Cloths
Hand sanitizer / Sanitizing wipes
Please include a link to the exact item you want.
Does the library already have this equipment? *
Yes, but another is needed
Yes, but it is broken / on its last legs
No, the library does not have one
If what you want to request is software, please specify what you want and the version
Please state the reason for your request. Be as detailed as possible. *
Unless this is personal safety equipment, you are required to find 3 competitive quotes for the equipment you want to request the Library purchase. Please include the 3 figures you found and include the links to where they can be purchased. *
Is there a deadline for when you would need to have the equipment in the library? If the answer is No, leave this blank. If the answer is yes, please specify the date.
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