IT Ordering Form Worcester

This form is for requesting additional equipment only. If your request is to replace existing equipment that isn't working, please log a ticket with the IT Service Desk.

Consent

Your Details

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

Please enter your email address

Please enter the name of the facility you work at

Please enter your surgery NACS code

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.