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Request #:
Assigned by OIT

Project Name:
List the name of the project as described by the sponsoring office.

The following sections are for Administrative Services and Functional Office use only.
Technical Review Section

Technical Review Section

 

Reviewed By:

colA2

Estimated Work Hours:

colA2

Additional Costs:

colA2

Comments:

colA2

 

Reviewed By:
Date Reviewed:
Estimated Work Hours:
Additional Costs:
Comments:

Functional Review Section
Reviewed By:
Date Reviewed:
Comments:

Committee Review
Reviewed By:
Date Reviewed:
Priority:
Action/ Comments: