Service Request Form
Service Type
Select Dept Service Request for BSHES, BIOS , HPM and HDGH ticketing system.
Select Financial Approval Request for authorized approval of financial transactions.
Non-Essential Spending : COMING SOON!
Service Type
Please select...
EPI Service
Finance Approval Request
Fulfillment Service
Dept Service Request
Case/Request Information
Department
Please select...
SPH: Biostatistics
SPH: Health Policy and Mngmnt
SPH: Global Health
SPH: Behav/Soc/Health Educ Sci
Department Request Type
Please select...
Administration
Finance
Human Resources
Other
Administration
Finance
Human Resources
Other
Administration
Finance
Human Resources
Other
Finance Support (e.g., expense reimbursements, invoices, contracts, participant payments)
Event and Meeting Coordination (e.g., room reservations, catering, AV set-up, arrangements for guest)
Hiring and Personnel Requests (e.g., student hires, staff onboarding)
Communications (e.g., newsletter, internal announcements)
Technology and System Management(e.g., assistance with device and software purchases)
General Office Support (e.g., ordering supplies, managing copy rooms, maintaining facilities)
Other
Department Sub Type
Please select...
Non sponsored New Award/Project Setup Request
Closeout Project Request
Other Items
Room Reservations
Office Supply Requests
Shipping Requests
Travel Arrangement Requests
Purchasing Request
Repair and Maintenance
Other
Reimbursement Requests
Payment Processing (AP)
Invoice Processing (AR)
Non-Sponsored Reporting Request
Non-Sponsored Contract Support
Emory Express Request
Deposit/Wire Claims
Student and Staff Hiring request
Out-of-State Employment Requests
Department Admin Other Details
Short description
Request
Type
Please select...
Deposit/Wire Claims
Contract Request
Discretionary Report
Email Request
Event/Meeting Support
Expense Report
Financial Help
Hire Request
Onboarding Staff/Student
Other
Payment Request
Printing Request
Purchasing Request
Shipping Request
Training Request
Deposit/Wire Claims
Contract Request
Expense Report
Payment Request
Purchasing Request
Subaward Invoice
Amazon Notifications
Bartending Services
Building Access
Combine Recycle Bins (confidential, large, small, etc.)
Copier Service/Toner Replacement
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)
Lockers
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)
For Purchasing Request for items eg : Refrigerator,laptops , freezers, table top appliances.
x
Item Number (Staples/Amazon)
Location Name
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 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
If PI is the same for multiple speedtypes, list them once.
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
Financial approval requests require at least one attachment.
Examples include: EE or compass summary page, receipts or Excel expense breakdown. Please consolidate into a single pdf.
Attachment 1
Attachment 2
Attachment 3
If you have more than three attachments, please email them to
epiadmin@emory.edu
Student Information
Submitter
Submitter Information
Total Amount
Submitter Name
Submitter Email
Submitter Division
Account ID
Department Name
Dept school code
Contact EmpID
CaseId
Type
New Contact First Name
New Contact Last Name
Submitter EmpID
Submitter Last Name
Submitter First Name
RSPH Location
Primary Speed Type
Case Number
SubmitterId
StudentSubmitterId
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