Information and Communication Technology Procurement Request
IT- InfoSec and Compliance
Section 508 of the Rehabilitation Act of 1973 requires CSUDH to apply accessibility standards to all electronic and communication technology (ICT) products and services that it develops, uses, maintains or procures. ICT accessibility is a campus wide responsibility. Once the purchase requester completes the prepurchase request form, it is sent to the Accessible Technology Initiative (ATI) coordinator and is used to provide key information about the product's functionality, the product's intended use and user-base and to evaluate the potential impact of using the product, especially for persons with disabilities. Please complete this form to expedite your ICT procurement request. Please e-mail the ATI coordinator at ati@csudh.edu if you have any questions or concerns.
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Hi, Jonathan. When you submit this form, the owner will see your name and email address.
Required
ATI and Security Review Process (New Culture, New Timeline)
* 90 Days ICT Request: Submit ICT 90 days prior to renewal or in-service date to provide sufficient time for the interactive vendor process.
* 60 Days ICT Request: At 60 days, delays are possible for high impact ICT purchases.
* 30 Days ICT Request: 30 Days or less, expect delays for high impact ICT purchases
1
Product/service owner First NameRequired to answer. Single line text.
The product/service owner is the faculty member or employee who intends to use the product to complete a specific business process or conduct academic research and who has the primary responsibility for its success.
2
Product/service owner Last NameRequired to answer. Single line text.
The product/service owner is the faculty member or employee who intends to use the product to complete a specific business process or conduct academic research and who has the primary responsibility for its success.
3
(Enter E-mail Address) Product/Service owner's e-mail addressRequired to answer. Single line text.
If there are more than one email addresses, please separate them using semicolon (;)
4
(Enter E-mail Address) Appropriate approver, manager, supervisor e-mail addressRequired to answer. Single line text.
5
(Enter E-mail Address(es)) Who is/are the purchaser(s) for your department?Required to answer. Single line text.
Please type the email address(s) of the purchaser(s). Typically an administrative support staff member or fiscal officer responsible for department/unit purchases. If more than one email addresses, please separate them using semicolon (;).
6
Department/College/Division (select all that apply)?Multiple choice.
7
Transaction TypeRequired to answer. Multiple choice.
8
Product/Service DescriptionRequired to answer. Single line text.
Please explain how this product/Service is used and/or what it does.
9
Where will this product/service primarily be used (select all that apply)?Required to answer. Multiple choice.
10
Who will be using the product/service (select all that apply)?Required to answer. Multiple choice.
11
Estimated number of users annuallyRequired to answer. Single line text.
12
In order to assess the most accessible product or service, list any others reviewed that meet your business or academic needs.Required to answer. Single line text.
California Government Code Section 11135 and Section 508 of the Rehabilitation Act of 1973, as amended, require the CSU to purchase the most accessible product that meets the purchaser’s/institution’s business and functional requirements.
13
Product/Service NameRequired to answer. Single line text.
14
Product/Service Version Number (if applicable)Required to answer. Single line text.
15
Product/Service Vendor or DeveloperSingle line text.
16
Vendor/Developer WebsiteSingle line text.
17
(Enter E-mail Address) Vendor/Developer E-mailSingle line text.
18
Vendor/Developer PhoneSingle line text.
19
Has the vendor provided an accessibility conformance report (commonly known as a VPAT)?Required to answer. Single choice.