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UIC ACADEMIC COMPUTING AND COMMUNICATIONS CENTER PC LAB
Software Installation Requisition

Please submit software (with documentation), along with this form and proof of license to the ACCC m/c 135, Attn.: Rima Willis, Software, 2267 SEL. For questions, send e-mail to: software@uic.edu Refer to the following website for deadlines for software installation requests: http://www.uic.edu/depts/accc/pclabs/roomres.html#3 While we make every reasonable effort to install and have the software running in our environment, we cannot guarantee that it will work.

Name: _________________________________

Department: ________________________________________________

Mail Code: ________________ Phone: _____________________

E-mail address: ______________________________________

Class(es) that will use the software/files(e.g MATH101): __________________________________________________________________

Name: _____________________________________ Version: ___________________

Operating System: __WinXP __Mac OS X

How many licenses do you have?: _________________________
(Please submit a copy of the site license agreement or proof of the number of licenses that you have along with the software. The number of licenses will determine the number of concurrent users that can use the software)

License Number/Access code (if any): ___________________________________________________________

Who can we contact for support during installation:

Name:____________________________
Phone Number: _______________
E-mail: _____________________

Note: Once you are notified that the software has been installed, it is your responsibility to check if the software is running properly, at least 48 hours before you need to use it. While we make every effort to check that the software is working properly, in most cases we cannot check more than file open/save/print capabilities.

Please specify if there are any other requirements to run the software:

____________________________________________________________________
____________________________________________________________________

Software should be available for the ___________________semester (e.g. Fall 2004) or

from(dd/mm/yy) ___________________ until: _________________________

Signature: ___________________________________________

Name: _______________________________________________________

Date: _____________________________

Received by: ____________________________________________

Date: ____________________________ RT Number: _____________________

Action taken/Comments: ____________________________________________________________________

Installed in directory: ___________________________________________________

Installed on servers: ____________________________________________________

Removed on:________________________________________

By: ________________________________________