Project request form

This form should be used to raise non-standard requests for IT. A non-standard request is typically an activity that requires greater than ½ days effort to complete. Such requests are not covered within the contract held with MLCSU and as such may be chargeable.

On receipt of the form it will be assessed to confirm it is a 'project' request. A member of the project team will review the form and where necessary clarify any further requirements with you. To help speed up the process please complete as much detail on the form as possible. Once the initial requirements are understood, it will be discussed with your organisations appointed IT lead to agree a priority for progression.

Page 1 of 3

Request Owner

Name *

Job Title *

Email *

Request Origin

DATIX Reference

This field is mandatory for ECNT, without this your request cannot be processed

DATIX Score

This field is mandatory for ECNT, without this your request cannot be processed

Request Title *

Organisation *

Lead Customer

Key Customer Contact

Name, Job Title & Contact Details (i.e. the person who can best describe the requirements)

Other Contacts

Any other individuals who can help define the requirements – colleagues/ 3rd party suppliers/ specific CSU staff etc: Name & contact details