Service Request Form
Service Type
Service Type
Please select...
EPI Service
Fulfillment Service
Finance Approval Request
Please choose the appropriate department for your support request
x
Case/Request Information
Short description
Location Name
Request
Type
Please select...
Contract Request
Discretionary Report
Event/Meeting Support
Expense Report
Financial Help
Hire Request
Onboarding Staff/Student
Other
Payment Request
Printing Request
Purchasing Request
Shipping Request
Training Request
Accounts Receivables
Amazon Notifications
Bartending Services
Building Access
Copier Service/Toner Replacement
Combine Recycle Bins (confidential, large, small, etc.)
Copy Paper Request
Custodial Request
Event Setup
Facilities/maintenance requests
Furniture Request
ID Badge Request (Issues/New/Replacement)
Key Request (Keys/Fob)
Large Recycle Bins
Linen Request
Loaners (Equipment/Event Supplies)
Mail/Courier Service/Stamps/FedEx Supplies
Moves
Office Supplies Request/ Special Orders
Photography Services (Headshot, Passport, Events)
Portable Whiteboard Request
Poster Presentation Supplies
Projects
Question
Recycle Confidential Bins
Recycle Surplus
Room Reservations
Signage (Events/Building/Name Plates)
Sponsored Account Request
Storage Request (On/Off Site)
Transportation ( pick up and drop off)
Expense Report
Payment Request
Contract Request
Purchasing Request
Accounts Receivables
For Purchasing Request for items eg : Refrigerator,laptops , freezers, table top appliances.
x
Sub Type
Please select...
Room reservation
A/V
Food and beverage
Room setup
Check or select all that apply
Equipment order > 5000
Details
Requested by (Due date)
Contact Name
Contact Email
Contact Division
Fulfillment Speed Type
EPI Speed Type
EPI Speed Type
IT Related Information
Does this approval request involve IT-related purchase(s), including but not limited to computers, computer components, peripherals, data storage devices, software, software licenses, hosting and/or other internet-based websites, applications, or services?
Accounts Receivables
Account Code
Event Code
Paid By
Check Nbr
SpeedType and (PI/Alternate Approver) Information
SpeedType 1
Approver
for SpeedType 1
SpeedType 1 Amt
SpeedType 2
Approver
for SpeedType 2
SpeedType 2 Amt
SpeedType 3
Approver
for SpeedType 3
SpeedType 3 Amt
SpeedType 4
Approver
for SpeedType 4
SpeedType 4 Amt
Addtional Speedtypes?
No
Yes
Additional SpeedType
(PI/Alternate Approver)
Information
SpeedType 5
Approver
for SpeedType 5
SpeedType 5 Amt
SpeedType 6
Approver
for SpeedType 6
SpeedType 6 Amt
SpeedType 7
Approver
for SpeedType 7
SpeedType 7 Amt
More Speedtypes?
No
Yes
Additional SpeedType
(PI/Alternate Approver)
Information
SpeedType 8
Approver
for SpeedType 8
SpeedType 8 Amt
SpeedType 9
Approver
for SpeedType 9
SpeedType 9 Amt
SpeedType 10
Approver
for SpeedType 10
SpeedType 10 Amt
Attachments
Attachment 1
Attachment 2
Attachment 3
If you have more than three attachments, please email them to
epiadmin@emory.edu
Submitter Information
Total Amount
Submitter Name
Submitter Email
Submitter Division
Primary Speed Type
Contact EmpID
CaseId
Type
New Contact First Name
New Contact Last Name
Submitter EmpID
Submitter Last Name
Submitter First Name
RSPH Location
Case Number
SubmitterId
Account ID
ContactId
Contact email
PIContactId
Name
Category
Please select...
School Code of Conduct
School Violation
State Offense
Other
Case Reason
Please select...
User didn't attend training
Complex functionality
Existing problem
Instructions not clear
New problem
Req Label
Priority
Please select...
High
Medium
Low
RecordType ID
PISpeedType1UserEmail
PISpeedTypeUserEmplId
PISpeedType1UserEmplId
PISpeedType1UserName
ST Hidden information
PISpeedType1UserId
STFundGroupID
PISpeedType2UserId
STFundGroupID2
PISpeedType3UserId
STFundGroupID3
PISpeedType4UserId
STFundGroupID4
PISpeedType5UserId
STFundGroupID5
PISpeedType6UserId
STFundGroupID6
PISpeedType7UserId
STFundGroupID7
PISpeedType8UserId
ST Fund GroupID 8
PISpeedType9UserId
ST FundGroup ID 9
PISpeedType10UserId
ST FundGroup ID 10
Post Admin 1
ROAR (Pre/Post) Admin1
ROAR (Pre/Post) 1ContactUserId
Edit section title
ROAR (Pre/Post) Admin2
ROAR (Pre/Post) Admin3
ROAR (Pre/Post) Admin4
ROAR (Pre/Post) Admin5
ROAR (Pre/Post) Admin6
ROAR (Pre/Post) Admin7
ROAR (Pre/Post) Admin8
ROAR (Pre/Post) Admin9
ROAR (Pre/Post) Admin10