IT Ordering Form BSOL

Consent

Your Details

If you are you a new member of staff you also need to complete the All In One smart form to request your accounts

Please enter your email address

If you work at a GP Practice/Surgery/Medical Centre please select the appropriate "GP" option, not just the organisation.

Please note this CCG will not fund the purchase of Colour Printers

Please enter the name of the facility you work at

Please enter your surgery NACS code

Please note, the ICB do not order Apple products.
For Adobe licenses, please email Simon.Elliot@nhs.net
For mobile devices, please use the Mobile Device form - https://itservices.midlandsandlancashirecsu.nhs.uk/forms/mobile-device-form

Order details

Enter the printer model so we know which printer tray to order.

Please use this field when the hardware you wish to order isn't listed in the catalogue, e.g. Check-in Screens.

For orders of more than one item please use add another and you can select another item to order.
Add Another

Cost Approval

Delivery Information

The address you add on this form will be shared with a third party for delivery purposes. If you are NOT happy sharing your home address for this purpose we are unable to deliver to it and instead you should enter your organisations nearest IT support site address.