1. Name:*Required
2. Email:*Required
3. Phone:*Required
4. Department:*Required
5. Campus:*Required Select one CYP EVC EGN HYC HBC HLC NRG PIN RGC RVS RRC SAC SVC Other
6. Room No:*Required
7. Employee Status:*Required Select one Teaching Faculty Non-Teaching Faculty Staff
8. Title:*Required
9. Asset Tag No:*Required
   The Computer Asset Tag is on the Property of Austin Community College barcode label. If you are unable to locate it, please provide the serial number.

Select your employment status to review your replacement options.

1. Teaching Faculty

1. Non-Teaching Faculty

1. Staff

Monitors are no longer ordered with Dell Desktop replacements. Employees must keep their existing monitor.

1. Computer Type:*Required Desktop Laptop
2. Computer Brand:* Dell PC Required Apple Mac Required
3. Non-Standard Computer:* Yes Required No Required

Note: To request a non-standard computer, you must provide a justification and approval.

4. Please, state any special configuration and justification regarding this system: