Property & Equipment Request "*" indicates required fields Request Date* MM slash DD slash YYYY Employee Name* First Last Employee Number*Start Date* MM slash DD slash YYYY Department*Primary Job*Employee Title* Standard Equipment and TechnologyDoes the employee require a mobile device ?* Yes No Does the employee require a desktop workstation ?* Yes No Does the employee require a laptop/tablet ?* Yes No If the employee requires a computer, please list any additional items requested in association with the computerIf the employee requires a computer, please list any additional items requested in association with the computerDoes the employee require an email address ?* Yes No Does the employee need business cards ?* Yes No Capital Equipment and RelatedDoes the employee require a vehicle ?* Yes No If yes, please detail they type of vehicle needed*If yes, please detail they type of vehicle neededDoes the employee require a gas allowance ?* Yes No If yes, what is the monthly amount proposed ?*If yes, what is the monthly amount proposed ?Does the employee require a gas credit card ?* Yes No Does the employee require an EZ- Pass ?* Yes No Signatures and Acknowledgements Requestor's Name* First Last Requestor's Title*Requestor's Signature* Δ
