Project Request Form

Section 1: Project Requestor/Scope

Requestor(Required)

Phone(Required)

Request Date(Required)

Requestor's Div/Dept./Functional Unit(Required)

Campus Address

Email(Required)

Requesting Cost Center Number and Name (Paying for Project)(Required)

Project Location/Bldg.

Floor

Room(s)

Project Description/Scope/Justification

Describe what you would like to have done. Describe the reason for the change and the last changes to this area.

Estimate Only

Yes

Requested Project Start

Requested Project Finish

Relocations Required

Yes

Section 2: Assets

Describe Asset to be Purchased

Approximate Age of Asset Being Replaced

Value of Asset

Capital Asset(Required)

Yes

Anticipated Date Asset is to be in Service(Required)

Section 3: Financials

Proposed Project Total Cost(Required)

Current $ Authority(Required)

Funding Business Area(Required)

Fund Number(Required)

Fund Name(Required)

Amount ($)(Required)

Business Area(Required)

If more than two funding sources, please add information in this box:

Project Type(Required)

Plant(Required)

JHU 1099

JHHS 2099

Please attach any supporting information, documents, schematics, etc. to this request.

Max. file size: 49 GB.

Section 4: Approvals

Signature

Print Name / Title:

Date

Signature

Print Name / Title:

Date

Signature

Print Name / Title:

Date

Section 5: To Be Completed by JH Facilities / Information Technology

Project # / Level 1 WBS #

Project Name / Description (limit to 40 characters)

Person Responsible (Project Manager)

Phone

Responsible Cost Center [PM Home CC]

Confidential / Restricted Notification List:

Yes

CAPTCHA

Quick Links

Project Request Form

Section 1: Project Requestor/Scope

Section 2: Assets

Section 3: Financials

Section 4: Approvals

Section 5: To Be Completed by JH Facilities / Information Technology

Site Menu

Quick Links