Managed Print Services
MPS Equipment Ordering Form

Please use this form to order new or replacement equipment (Copiers, printers, faxes, scanners, and Multi-Function Products (MFP)).

(Items marked with an asterisk are required.)

* Name:
* Department:
* Email:
* Phone:
* Address:
Type of Request: (Select one)

Please note: Failure to check if your current Ricoh unit is still under contract lease may result in additional Buy-Out Costs for your department.
To check if your Ricoh Equipment Lease Obligation has been met, please send an e-mail to with the serial # of the units to be replaced.

New Order /New Location
Additional order / Existing Location
Replacement Order
Service Loaner
If Replacement - type in Serial Number
If Service Loaner Request, please provide brief explanation.
* Number of Users:
* Services Needed:
Black and White
Estimated Black and White pages/month:
Estimated Color pages/month:
* Please explain usage needs, UM-specific applications (i.e. MediTec, UChart, etc.), or other requirements: