Color Printing Request Form

Purpose of This Form

The Computer Center maintains a Xerox Phaser 7750 GX model color laser printer for use by department members. The high cost of the toner and other consumables requires the use of a per-page, per-user accounting system. To use the printer, you must be a member of an on-line list of eligible users. You can request to be added to that list with this form.

How To Use This Form

Please provide all of the requested information so your request can be fulfilled quickly. When you have completed the form, press Submit Form to send the form, or press Reset Form to clear the form and begin again. When you have been added to the list (this may take two or three business days), you will be notified by email or telephone.

Customer Information Section

(If you are filling out this form for someone else, please put your name in the Requester fields. If this is for you, just leave those fields blank.)

Primary User's Full Name 
Their UNIX Login Name 
Work Group/Research Area  (eg ACS,FUSE,HEP,CMT,GRAD,SDSS)
Campus Phone Ext       (last 4 digits)
E-mail Address        
Budget code            (like pxxx-dxx-xxxx)
Budget's Expiration Date  (YYYY/MM/DD)
Budget Analyst         (who manages this budget)
Requester's Full Name 
Requester' E-mail

Is this a new request or are you renewing/updating an existing entry?
New Request Request for Renewal

Please indicate the the primary user's position type:
Faculty Post doctoral Sr Staff Jr Staff Graduate student Undergraduate Other

Any Comments?         REPLACE THIS TEXT WITH ANYTHING ELSE WE NEED TO KNOW

THE BUDGET INFORMATION FIELDS ABOVE MUST BE COMPLETED OR WE WILL NOT ADD YOU TO THE AUTHORIZED LIST It is faster for you to get this information from your budget analyst than for us to stop what we are doing and go to that same person only to have them guess at which of your budgets they should charge. Budget codes look like p555-d31-0101 (not "the NASA budget" or "d45-2929"). We do not need an object code (we will probably use object code 1071).

By submitting this application, you are agreeing to abide by the following rules:

You will be responsible for all printing done by your account (one of many reasons why it is a bad idea to share your computer account).
You understand that your ability to print will be controlled by the expiration date of the budget number you have provided. We will try to notify you ahead of time so you can submit a new budget, but we can't guarantee that we will succeed.

To submit the form, press: To reset the form, press: