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| Submitted Date: |
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| Submitter's Name: |
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| Department Head: |
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| Brief description of the requested project (what do you want to do?): |
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| Hardware or software request including the product name and/or manufacturer (if known): |
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| Does this product replace a current product or process? |
| Number of Users: (Approximate) |
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| Why is this project necessary? |
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| Attach any other necessary files below: |
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