(Inaccurate information may result in delay of service)

Contact Name:	(required)
Extension:
Email Address:	@domail.maricopa.edu
Department:	(required)
Office Location:

(Supervisor Information Is Required)

Supervisor's Name:
Supervisor's Email:	@domail.maricopa.edu
Supervisor's Extension:

Upon deployment of new printer:
If replaced printer is to be redeployed, please submit a Printer Setup for that printer as well.
If replaced printer is for surplus, please notify R. Stutsman.

MCCCD Tag Number:	(required)
Make of Printer	(required)
Model of Printer	(required)
Current Location:
Current Jack #:
Deliver to Location:	(required)
Deliver to Jack #:	(required)
IP Address:
Is printer Local or Networked? (required)
	Local
	Networked
Is this Printer replacing an older printer? (required)
	Yes
	No
Is the printer to be used for CFS or HRMS printing? (required)
	Yes
	No
If so, name of printer when printing from CFS or HRMS. (required)
Any special features to be setup for this printer?   (ie ... duplex printing):

 

Is there any information or comments you would like to include with this setup?

 

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