Skip to content
Emergency Preparedness & Strategic Initiatives
Environmental Health & Public Safety
Toggle navigation
Who we are
Our Team
More
Emergency Management
Fire & Life Safety
Insurance & Risk Management
IT Services
About Strategic Initiatives
Services
Resources
Equipment Checkout
Strategic Initiatives Connections
Level Up! with SI
Campus Events
Wolfalert
Equipment Tracking Home / Portable Use Authorization
This form is required annually and upon issue of all portable equipment.
Personal Information
Reason for submittal
(Required)
Annual Renewal of equipment
Initial Issue of equipment
Replacement issue of equipment
Name
(Required)
First
Last
Unity ID
(Required)
Email
(Required)
Date submitted
(Required)
MM slash DD slash YYYY
Work Phone number
Work Location
Department / Division
(Required)
Administration - EHPS
Biological Safety
Emergency Preparedness and Strategic Initiatives
Environmental Health & Safety
Environmental Affairs
Insurance & Risk Management
Occupational Health
Occupational Safety
Radation Safety
Risk Assessment
University Police
Building
(Required)
Env. Health & Safety Center
Public Safety Center
Administrative Services Annex
Broughton Hall
Office room number
(Required)
Device Information
Device(s)
(Required)
Laptop
IPAD
Cell Phone
MiFi (portable WiFi device)
Other
Other Equipment
(Required)
Enter equipment description, manufacturer, type and S/N of other equipment not listed above
Laptop
Located on the bottom of the laptop should be a sticker with the following information. Please enter this information below. enter N/A if this information is unavailable.
Machine Name
(Required)
MAC Address
Wireless MAC Address
Service Tag
(Required)
Abbreviated as S/T on you laptop sticker and also located on the laptop label.
I utilize a Docking Station at my office location
(Required)
Yes
No
Docking Station S/N
(Required)
S/N and MAC address are located on the bottom of the device
Docking Station MAC address
(Required)
S/N and MAC address are located on the bottom of the device
Network Port number
This number is located on the network wall outlet your laptop docking station is connected to: Please contact EPSI if you have a problem locating this number.
Cell Phone
Cell Phone Make & Model
(Required)
Cell Phone Number
(Required)
IPAD
IPAD Model
(Required)
IPAD S/N
(Required)
S/N can be found in Settings > General > About..
IPAD Pen
(Required)
IPAD Pen issued with the IPAD is present
Yes
No
MiFi
MiFi Phone number
(Required)
Can be found on the MiFi settings menu
