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Run: Software License Request Form

Request a new software license with the business case, security review, and procurement details IT and finance need to approve it. This form keeps the reques...

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Requester Information

Requester name (required)

Requester email (required)

Department (required)

Manager name

Cost center

If your organization uses cost centers, enter the code for chargeback or budgeting.

Software Details

Software name (required)

Vendor name

Software type (required)

Number of licenses requested (required)

Requested start date

Is this a new request or a renewal? (required)

Business Justification

Business need (required)

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 (required)

Security and Compliance Review

Will this software store or process PII? (required)

Will this software store or process PHI? (required)

Will this software store or process customer data? (required)

Does this request require admin or elevated access? (required)

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

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Email (required)

Your name (optional)

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