Engineering Software License Reclaim Request
Submit this form to request the return or reallocation of an engineering software license.
Full Name
*
First Name
Last Name
Department
*
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Software Name
*
Software Version
License Type
*
Please Select
Single User
Network
Floating
Other
License Number (if applicable)
Reason for Reclaim Request
*
Please Select
No longer needed
Role change
Software not in use
License reassignment
Other
Current Usage Status
*
License is currently in use
License is not in use
Urgency of Request
*
Immediate
Within 1 week
No rush
Manager/Supervisor Name
Additional Comments
Date of Request
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Request
Should be Empty: