SOFTWARE INSTALLATION REQUEST FORM
*Asterisk denotes required field
REQUEST DATE*
DATE NEEDED BY*
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Click here to enter a date.
VALID IR REQUEST NO*
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Most requests require a minimum of 7 business days to complete.
REQUESTOR INFORMATION*
First Name
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Last Name
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Email Address
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Department
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Telephone No
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Campus
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Location (Building/Room)
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SUPERVISOR INFORMATION*
First Name
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Last Name
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Email Address
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Department
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Telephone No
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Campus
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Location (Building/Room)
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SOFTWARE REQUESTED
Please provide as much information as possible. This will help to expedite your request.
We may contact you for additional information if necessary.
Please select one of the following:
☐New Purchase. Enter REQUIRED Purchase Order or P-Card* number: Click here to enter text.
☐Free Software
☐Existing Software. Software licensed or used by the college.
*(Note: Per the Purchasing Card Manual, software purchased MUST be pre-approved by the IT Department (see Page 4).
IT has the right to deny the software request if the prior approval was not granted.)
All software must be compatible with the College’s Current Operating Systems.
Manufacturer/Vendor
Software Title
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Date Acquired
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Software Version
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For Adobe Creative Cloud Software, select a Bundle:
☐
Bundle 1 – Acrobat Pro DC
☐
Bundle 2 – Design & Web Premium [includes Bridge, Dreamweaver, Animate (replaced Flash Professional),
Illustrator, InDesign, Muse, Photoshop]
☐
Bundle 3 – Production Premium [includes After Effects, Audition, InCopy, Lightroom, Media Encoder, Prelude,
Premiere Pro, SpeedGrade]
Description of Software
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Indicate the Type of Media **
Choose a Media Type
If download, provide website/URL
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**All media submitted for installation will be retained by the IT Department (until it is deemed obsolete).
Platform
Choose a Platform
Serial Number/License Code
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Software Licensing/Justification*
*Licensing MUST be verified in order to proceed with this request. We may contact you for additional information/verification.
All software must be purchased either by the College or licensed directly to the College. (Personally owned software cannot be installed on College Equipment.)
Number of Licenses
Purchased/Acquired
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Number of Licenses to be installed Click here to enter text.
(cannot exceed number of licenses
purchased/acquired)
Page 1 of 2
Template Version 10 – Revision Date: 3/21/2017
SOFTWARE INSTALLATION REQUEST FORM
*Asterisk denotes required field
Why is this software needed?
Provide a business need or
justification
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Who will use this software?
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How often will the software be
used?
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SOFTWARE INSTALLATION LOCATION(S)
Item
#
Campus
1
Choose a
Campus.
2
Location
Room Type
User Name
Equipment
Type
Equipment SN/Asset Tag
No
No of Licenses
to be installed
Click here to
enter location.
Choose a
Room
Type.
Click here to
enter User
Name.
Choose an
Equipment
Type.
Enter Equipment SN or Tag
No or select ALL for entire
classrooms.
Click here to
enter No of
Licenses.
Choose a
Campus.
Click here to
enter location.
Choose a
Room
Type.
Click here to
enter User
Name.
Choose an
Equipment
Type.
Enter Equipment SN or Tag
No or select ALL for entire
classrooms.
Click here to
enter No of
Licenses.
3
Choose a
Campus.
Click here to
enter location.
Choose a
Room
Type.
Click here to
enter User
Name.
Choose an
Equipment
Type.
Enter Equipment SN or Tag
No or select ALL for entire
classrooms.
Click here to
enter No of
Licenses.
4
Choose a
Campus.
Click here to
enter location.
Choose a
Room
Type.
Click here to
enter User
Name.
Choose an
Equipment
Type.
Enter Equipment SN or Tag
No or select ALL for entire
classrooms.
Click here to
enter No of
Licenses.
5
Choose a
Campus.
Click here to
enter location.
Choose a
Room
Type.
Click here to
enter User
Name.
Choose an
Equipment
Type.
Enter Equipment SN or Tag
No or select ALL for entire
classrooms.
Click here to
enter No of
Licenses.
6
Choose a
Campus.
Click here to
enter location.
Choose a
Room
Type.
Click here to
enter User
Name.
Choose an
Equipment
Type.
Enter Equipment SN or Tag
No or select ALL for entire
classrooms.
Click here to
enter No of
Licenses.
7
Choose a
Campus.
Click here to
enter location.
Choose a
Room
Type.
Click here to
enter User
Name.
Choose an
Equipment
Type.
Enter Equipment SN or Tag
No or select ALL for entire
classrooms.
Click here to
enter No of
Licenses.
8
Choose a
Campus.
Click here to
enter location.
Choose a
Room
Type.
Click here to
enter User
Name.
Choose an
Equipment
Type.
Enter Equipment SN or Tag
No or select ALL for entire
classrooms.
Click here to
enter No of
Licenses.
Bldg/Room
ACKNOWLEDGEMENT
By submitting this information to the IT Department, I confirm that the software being requested is properly owned and/or licensed for use by
Palm Beach College and will be used solely for College-related purposes.
Requestor Name
Click here to enter text.
Date
To submit this information to the IT Department:
1.
Save a copy of this Word document and send it to the following email addresses:
a.
IT Service Desk at [email protected]
b. IT Records Department at [email protected]
2.
Please remember to reference the IR # in the subject line of your email message.
Page 2 of 2
Template Version 10 – Revision Date: 3/21/2017
Click here to enter a date.