Provide contact information for the LAN Administrator who is primarily responsible for this printer. Phone number and e-mail address can be found in the NIU Electronic Phone Book.

LAN Administrator's Name:*

LAN Administrator's NIU E-Mail Address:*

LAN Administrator's Telephone Number:*

Provide contact information for the person to be contacted if the LAN Administrator is unavailable. Phone number and e-mail address can be found in the NIU Electronic Phone Book.

Alternate Contact's Name:*

Alternate Contact's NIU E-Mail Address:*

Alternate Contact's Telephone Number:*

Please provide the following contact information. If you are the LAN Administrator referenced above, you may skip this section.

Your Name:

Your Telephone Number:

Please provide the following information regarding the Department using this printer.

Department:*
Academic Advising Center Academic Div & Student Serv Academic Year Foreign Study Access Access-Ability Resources Accountancy Admissions Allied Health Allied Health & Comm Disorders Alumni Services Anthropology Architecture & Engineering Art Art Museum Asian American Resource Center Assessment Services Assoc Provost Student Affairs Asst Prov Academic Support Asst Prov - Resource Planning Biological Sciences Building Services Bursar Business & Industry Services Campus Child Care Campus Parking Career Services Center for Black Studies Center for Burma Studies Center for Govt Studies Center for SE Asian Studies Chance Program Chemistry & Biochemistry College of Business College of Business Dean College of Education College of Education Dean College of Eng & Eng Tech College of Eng & Eng Tech Dean College of Health & Human Sci College of LA&S College of LA&S Dean College of Law College of Law Dean College of Law Faculty College of Law Library College of V & P A Dean College of Visual & Perfm Arts College-Hlth & Human Sci Dean Commissions Communication Community Relations Commuter & Non-Trad Services Computer Science Conference Services Controller Convocation Center Cooperative Education Corp Counsel & BOT Parliamntar Corporate Relations Counseling & Student Devel Counseling, Adult & Higher Ed CPR & Visual Communications Ctr Child Welfare & Education Ctr for Latino & Latin Amer St Customer Support Services Development Administration Development Operations Distance Learning Diversity & Equity Document Services Economics Educational Tech Res & Assesm Electrical Engineering Engineering Technology English Enrollment Services Env Health & Safety Exec V P and Provost External Affairs Faculty Development Family Violence&Sexual Assault Family, Consumer & Nutrition Finance Finance & Facilities Finance&Fac Operations Financial Affairs Foreign Language & Literature General Admin Misc General Administration General Counsel Geography Geology and Environmtl Geosci Gerontology Program Gift Planning Giorgi Law Clinic Grounds Health Enhancement Health Services History Holmes Student Center Housing & Dining Human Resource Services Ill Council On Econ Education Industrial & Systems Eng Info Security & Operations Information Services Information Technology Serv Intercollegiate Athletics Internal Audit International Programs International Stu&Fac Office International Training Office Judicial Affairs Kinesiology & Physical Educ LA&S External Programming Latino Resource Center Leadership In Educ & Sport Org Leadership, Educ Psyc & Found Learning Center LGBT Resource Center Libraries Literacy Education Lorado Taft Management Marketing Materials Management Mathematical Sciences Mechanical Engineering Media Services Military Science Motorcycle Safety Music NCAA Compliance Niu NIU Outreach & Regional Develp NIU Outreach Credentialing Prg NIU Outreach eLearning NIU Outreach Hoffman Estates NIU Outreach Naperville NIU Outreach Operations NIU Outreach Rockford NIUTEL - Telecomm Services Northern Public Radio Northern Star Nursing & Health Studies Office of Precollegiate Progms Office of Scholarship Coord Office of Support & Advocacy Oper Mgmt & Info Sys Orientation & First-Year Exper Partnership Office Philosophy Physical Plant Physics Planning & Resource Managment Political Science Presidents Commissions Presidents Office Procurement Services Psychology Public Administration Public Affairs Public Opinion Lab Public Safety Publications Radiation Safety Re/Ace Recreation Services Registration & Contract Serv Registration & Contract Svcs Registration & Records Research Eval & Policy Studies Retention Programs Short Term Intl Study Social Science Research Inst Sociology Sponsored Projects Statistics Std Athlete Academic Sup Serv Stdnt Involvemnt&Leadrship Dev Student Affairs Student Financial Aid Student Health & Wellness Student Legal Assistance Student Life Student Services Student Support Service Teacher Certification Teaching and Learning Tech Commercialization Ctr Testing Services Theatre & Dance Transportation Treasury Operations Univ Administrative Services University Advancement University Council University Honors Program University Legal Services University Press University Writing Center Upward Bound Program V&PA External Programming Vice Provost Vice Provost Academic Planning VP Research&Dean of Grad Schl Women's Resource Center Womens Studies

Billing Account Number:* (All standard work of this type uses a minimum billing of thirty minutes labor. Please See ITS Rates for current hourly rates.)

Please provide the following information regarding the printer. This type of information is usually available from the printer test/configuration page.

Hardware (MAC) Address:* (The Hardware Address is usually available from the printer test page. Please see the instructions page for further information regarding finding the Hardware Address for your printer.)

Printer Manufacturer and Model:* (For example, "hp8000". If the printer is not manufactured by Hewlett-Packard (HP), then please expect delays for additional preparation work. If the printer is manufactured by Canon, please contact ITS Document Services at 815-753-1692 and ask for assistance to set up a Canon printer before proceeding. The Manufacturer and Model is usually physically printed on the printer itself. Please see the instructions page for further information regarding finding the Manufacturer and Model for your printer.)

Please provide the following information regarding the network destination for the printer. This type of information is usually similar to the information relevant for the printer's primary user.

Subnet:* (See the instructions page for further information regarding determining your subnet.)

NDS Context:* (For example, "CustSupSvc.InfoTech.GenAdmin.DK.NIU". See the instructions page for further information regarding determining your NDS Context.)

Please list any NDS groups, containers, or other objects that will require access to this printer. Please list each object on a separate line.

Please provide the following information regarding the physical location for the printer.

Building:*
Adams Hall Altgeld Hall Anderson Hall Art Annex Art Studios Barsema Hall Broadcast Center Campus Life Center for Black Studies Center for the Study of Family Violence and Sexual Assault Child Care Center Cole Hall Convocation Center Davis Hall Diversity Resources Dorland Building Douglas Hall DuSable Hall East Heating Plant Engineering Building Evans Field House Faraday Hall Faraday West Founders Memorial Library Gabel Hall Gilbert Hall Graham Hall Grant Towers North Grant Towers South Greek House Greenhouse Grounds Health Service Center Holmes Student Center Human Resources Department / Printing Services Huskie Stadium Illinois ASBO / Public Administration Jacobs House Kishwaukee Hall Labs for Wellness Latino Center Leland National Bank Lincoln Hall Lowden Hall McMurry Hall Monat Building Montgomery Hall Music Building Neptune Central Neptune East Neptune North Neptune West Nursing School Oderkirk House Parking Parking Deck Physical Plant Pottenger House Psychology - Computer Science Reavis Hall Recreation Center Software Implementation Center Speech & Hearing Clinic Stevens Building Stevenson Towers North Stevenson Towers South Still Gym Still Hall Swen Parson Hall Telephone & Security Building Television Center University Apartments University City University Press Visual Arts Building Watson Hall Wellness/Literacy Building West Heating Plant Williston Hall Wirtz Hall Women's Resources Zeke Giorgi Law Clinic Zulauf Hall

Room Number:*

Please use this space for any additional comments, information, or instructions: