Software License Request Form

Form for requesting new software licenses, capturing business justification, security review details, and procurement information.

Requester Information

• Requester name
• Requester email
• Department
• Manager name
• Cost center
  If your organization uses cost centers, enter the code for chargeback or budgeting.

Software Details

• Software name
• Vendor name
• Software type
• Number of licenses requested
• Requested start date
• Is this a new request or a renewal?

Business Justification

• Business need
  Describe the problem this software will solve and the team or process it will support.
• Expected benefits
  Optional: include productivity, compliance, revenue, or risk-reduction benefits.
• Estimated number of users affected
• Business criticality

Security and Compliance Review

• Will this software store or process PII?
• Will this software store or process PHI?
• Will this software store or process customer data?
• Does this request require admin or elevated access?
• Security or compliance notes
  Include any known data residency, SSO, MFA, retention, or vendor risk considerations.

Procurement and Budget

• Estimated annual cost
• Currency
• Vendor quote or proposal
• Preferred purchase method
• Budget owner

Additional Information

• Urgency
• Needed by date
• Supporting documents
• Additional comments