Live example
- nothing you submit is saved.
Back to the template
Equipment Request
Request equipment. Please include a cost if you know it.
Your name
*
(required)
Work email
*
(required)
Team or department
*
(required)
Your manager
*
(required)
What you need
What kind of equipment?
*
(required)
Select…
Laptop or desktop
Monitor
Phone
Headset
Keyboard or mouse
Chair or desk
Software licence
Tools or safety equipment
Something else
What specifically?
*
(required)
How many?
*
(required)
Estimated cost
Cost centre or budget line
Why
Is this a replacement?
*
(required)
Select…
First issue - I don't have one
Replacement - the existing one is broken
Replacement - upgrade
Additional to what I have
What should happen to the one you have?
Select…
It's broken and should be disposed of
It can be reallocated
I need to keep both
Not applicable
Why do you need it?
*
(required)
Is this a workplace adjustment for a health or accessibility need?
*
(required)
Select…
No
Yes
Prefer to discuss privately
When do you need it?
*
(required)
Anything else?
Leave this field empty
Send
Powered by
⋀⋁⋀
42