UMD ITSS: Programming Service Requests

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Request for Data Warehouse and Enterprise System Programming

Use this form:

Data, lists, labels, mass emails, electronic files, and general programming needs.

OR

Scanning office documents into electronic form to prepare them for electronic storage and retrieval.

(*) always required
(**) required if paying by CUFS
(***) required if paying by check or cash

Contact Information
(*) First & Last Name		(*) Email
(*) Phone Number		Department
Building		Room

Service & Billing
(*) Preferred completion date	(mm/dd/yyyy)	Would you like an estimate first?	Yes No
(**) CUFS number for this service request	(area org suborg)		Please Note: If Yes checked, project will not begin until we have received customer approval.
(**) Department Paying for request
Billing Address (if no CUFS listed above)
(***) Name		(***) City
(***) Address Line 1		(***) State
Address Line 2		(***) Zip

() Description*

If you need assistance completing this form, please call the ITSS Help Desk at x8847.

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