FORM: Supplier Exemption

IT Hardware Supplier Exemption

NOTE: Requests will only be accepted from a UniSA staff member.

Each submitted request will be taken through a diligent and thorough consideration process by ISTS, which may involve a number of teams (depending on the request).

A peripheral device (hardware which is attached to a computer system (predominantly by USB), which can not function on its own e.g. mouse, keyboard, scanners, projectors, etc) can be purchased by staff via Office Supplies.

Requestors Username:

Sub Ledger Code:

Cost Centre Code:

Unit Manager/Director:

Contact Number:

Supplier Name:

Equipment Make:

Equipment Model:

Quantity:

Purpose of Equipment:

Reason:

Operating System Included:

Will supplier electrically test and tag the equipment?

Additional Notes:

Terms and Conditions

I understand and acknowledge that my request may be declined and I may be advised to source an alternate hardware from the approved suppliers.

I understand and acknowledge purchasing computer systems from an alternative source without prior permission will result in the hardware not being able to participate on the University network.

I understand and acknowledge that the exempted supplier may not adhere to next day service level which is negotiated with approved suppliers.

I understand and acknowledge that opting for exempted supplier will mean that UniSA ISTS will only be able to offer limited support.

I acknowledge that I have obtained written permission from Chief Information Office prior to completing this form.

Yes

Further Assistance

If you require further information or assistance, please contact the IT Help Desk on (08) 830 25000 or 1300 558 654.