Software User's First Name*:

Software User's Last Name*:

Software User's School or Division*:

Software User's Phone Number*:

Software User's University Email Address*:

Name of Software User's Dean or Supervisor*:

Name of Person Submitting Request*:

Software Information:

Title of Software to be Removed*:

Version: Publisher:

Additional Information:

Please note: One form must be completed for each unique piece of software being requested for removal.

Removal Information*:

Computer Asset Tag Number:

Please note: The asset tag number is the six digit number found on the white sticker affixed to the computer. This number is issued by Texas Wesleyan and usually begins with "0".

Building: Ann Waggoner Fine Arts Bldg Armstrong-Mabee Business Center Art North Baker-Martin House Bookstore Boyd House Brown-Lupton Campus Center Burleson Campus Central Power Plant Dan Waggoner Hall Dan Waggoner Annex Dora Roberts Dining Hall Downtown Campus - Law School Elizabeth Means Armstrong Hall Ella C. McFadden Science Center Eunice and James L. West Library Glick House Health Science/Nurse Anesthesia Law Sone Fine Arts Center Louella Baker Martin Pavilion Maintenance Center/Security Nenetta Burton Carter Building Nicholas Martin Hall Oneal-Sells Administration Bldg Otho C. Armstrong Hall Polytechnic UMC Scene Shop Schollmaier Science and Technology Center Sid W. Richardson Center Stella Russell Hall The Dillow House Wade Hall Wesleyan Village Other Room Number:

Dean/Supervisor Approval*:

Have you gained approval from the dean or supervisor of the identified software user to have the software removed?

Please note: If you indicated "No", the form cannot be processed. The requestor must obtain permission from the software user's dean/supervisor prior to submitting a software removal request. For assistance please contact the appropriate supervisor.

Please allow 10-15 business days for processing. For an update on the status of your request, contact the ICT Help Desk at (817) 531-4428.