Peripheral Request Form
SAX Equipment Tracker
✓ Request submitted successfully!
Ticket #
has been created.
Please fill in all required fields.
Request Date
*
Office Location
*
Select location
Parsippany
New York
Ewing
Employee Name
*
Employee Email
*
Desk Location
*
Items Needed
*
🖮🖱️ Keyboard & Mouse Set
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Reason for Request
*
Select reason
Keyboard Missing
Mouse Missing
Both Keyboard and Mouse Missing
Keyboard Broken/Malfunctioning
Mouse Broken/Malfunctioning
New Employee Setup
Equipment Replacement
Other (Specify below)
Additional Notes / Other Reason
Submit Request
Clear Form
📦 Return Equipment
Use this section to return previously issued equipment.
Employee Name
Item Type
Select item
Keyboard & Mouse Set
Return Item
Return Location
*
Select location
Parsippany
New York
Ewing
🔐 Administrative Panel