Supervisor Verification

This is intended for authorized parties only. If you are not on Rocket IT's pre-approved list for Equipment Request Webform applicants, this submission will be rejected.

Identity Confirmation *

I am an approved Supervisor.
I am NOT an approved Supervisor. I will notify an approved Supervisor prior to the completion of this form.

The Requester must either identify as the supervisor or contact the supervisor to approve this form in order to be validated.

Supervisor's Email *

Confirm Email

Requester's Information

Requestor's Full Name *

First

Last

Requestor's Email *

Requestor's Phone Number

Equipment Request

Specify what equipment you would like to purchase here for the designated employee.

Business Unit (BU) Number *

Please present the BU number that will be used for this equipment request form.

Reason for Request *

Computer Equipment

Laptop Computer (HP ProBook 15.6”)
Docking Station (HP USB-C Universal Dock)
Desktop Computer (HP Slim Desktop 400 G5)
HP Comfort Grip Wireless Mouse
Targus Messenger 15.6" Notebook Case
Targus Metro Rolling 15.4" Notebook Case

Please click the available options to specify the required equipment for this submission.

Computer Monitors

Monitor (HP ProDisplay 24” LED)

Monitor Quantity (HP ProDisplay 24' LED) *

Select the quantity of Monitors required for this request.

ePads

ePad Signature Pad

ePad Signature Pad Quantity *

Select the quantity of ePads required for this request.

Additional Product Requests

If you do not have any additional requests, please click Submit

Employee Information

We will need some information regarding the employee that will utilize this equipment.

Employee's Full Name *

First

Last

Employee's Computer Login Username *

IMPORTANT: The Employee's Account Password will be set to a temporary password and will be communicated to the Requester.

Employee's Company Email *

IMPORTANT: The Employee's Email Password will be set to a temporary password and will be communicated to the Requester.

Address for Equipment Delivery *

Address Line 1

Address Line 2

City

State

Zip Code

Company Applications

This is the software we will install on your computer.

This section is only required when ordering a workstation. Please continue to the next page.

Application Confirmation

Adobe Products (Reader/Flash)
Java
Google Chrome
ePad Software
Global VPN
Microsoft Office 2010

These are default programs that are installed in every computer.

Are there additional applications that you would like for us to install? *

Common shortcuts such as TimeClock, ScanDocs, Carelogic, ESS are all included with permission and location based policies.

Enter all of your additional needed company applications below.

Please note that some custom applications may not be installed depending on the personal access required for the installer.

Printer and Network Drives

These are printers and network paths the Employee will need access to.

This section is only required when ordering a workstation. Please continue to the next page.

Will the Employee need access to any printers or network files? *

Please note that default Department-Based Printers and Network Shares are already configured during the Employee's account at the time of account creation.

Is there another employee that is using the same printers and network drives that the Employee will need? *

This can help us know exactly what your needs are regarding printers and network drives for the Employee.

Coworker's Full Name *

First

Last

Department

Please enter the names of the printers you will need access to.

Try your best to name the printers and we will ensure the Technician adds them.

Please enter the names of the mapped drives you will need access to.

Try your best to name the type of network folders the Employee will need access to.

One last step!

Please let us know if there is anything we may have forgotten to ask throughout this form. We want to make sure everything needed is on the Employee's new equipment!

Additional Requests (copy)

If you do not have any additional requests, please click Submit

ERF | VPH

Supervisor Verification

Requester's Information

Equipment Request

Employee Information

Company Applications

This section is only required when ordering a workstation. Please continue to the next page.

Printer and Network Drives

This section is only required when ordering a workstation. Please continue to the next page.

One last step!