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Request #:
Assigned by OIT

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

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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

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:

 

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

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