Miscellaneous Supplies Requisition Form

Staff and Student Users

This form should be used to acquire services and supplies from ITR.You must include the e-mail address of the Departmental Representative or other authorised signatory for verification purposes.

Note: Your account code (eg. jc123456) does not include the @jcu.edu.au. It also does not spell out your name in full.

Administrative Details

Your Details
Your Login id
Your Name
Contact Phone Number
Your E-mail

Departmental Details
Department
Posting Code
Authorising E-Mail
Date Requested

Supplies or Services Requested

ITEM	QTY

Details for manual (printed) form

Date Supplied:

Received by:

Signature:

Additional Information

(UTP patch leads are $5.00ea for lengths up to 5m)

Email goes to InformationTechnologyAndResources-office@jcu.edu.au