UNH IT Data Center Service Request

All fields are required until the comment field. If you don't have the information
put a ? in the field. Fill out the fields from the comment field down if appropriate.

Acquisition Date:

Purchase Order #:


Service/Equipment Purpose:

Static ID name (Server Name):


Vendor bought from:

Serial number (if known):

Responsible Person:

System Administrator:

Backup System Administrator:


UNH Equipment Tag Number (if known):

Purchase funding source:

Next Planned Replacement Year:

Operating System:

Application(s) on Server(s):

Power Requirements (Plug Type, Plug Count, Voltage):

KVA Needed:

BTU/hour rating:

Network Requirements:

Number of rack units needed (if applicable):

Backup device or backup service:

Vaulting and archiving needs:

Expected installation date:


If the equipment above is replacing an existing piece in the Data Center, fill out the
remainder of this form.


Equipment Description(s) and Static ID name:

Serial number:

Model number:

UNH Equipment Tag Number:

Disposition of equipment (Surplus or Stored for parts):

Put to new use. Should this equipment continue to be listed in the replacement