Workstation Privacy Screen Request Form
Submit your request for a privacy screen for your workstation. Please provide accurate details to help us process your request efficiently.
Full Name
*
First Name
Last Name
Department
*
Please Select
IT
Human Resources
Finance
Operations
Marketing
Other
Work Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Workstation Location (Building/Floor/Desk Number)
*
Workstation Type/Model
*
Please Select
Desktop
Laptop
Dual Monitor Setup
Other
Monitor Size (in inches)
*
Privacy Screen Preference
Removable
Permanent
No Preference
Justification / Privacy Need
*
Urgency / Timeline Needed
*
As soon as possible
Within 1 week
Within 1 month
No specific timeline
Supervisor/Manager Name
Additional Notes or Special Requirements
Submit Request
Should be Empty: