Photocopier Fuser Unit Replacement Approval Form
Request Date
Requested By
Department
Contact Number
Photocopier Model
Serial Number
Current Usage (Total Copies/Prints)
Last Fuser Replacement Date
Reason for Replacement
Remarks / Additional Information
Approval
Requested By (Signature/Name)
Date
Department Head Approval (Signature/Name)
Date
Technical/IT Approval (Signature/Name)
Date