Estimated savings Estimated savings associated with the expenditure request: Detail the expected savings as a result of this capital expenditure Examples include such items as consumable costs reduced. Estimated revenue Expected revenue associated with the expenditure request: Detail the expected revenue as a result of this capital expenditure Net cost estimate $ Calculate cost” less “Total “Estimated savings” & revenue” (from above) “Estimated Proposed funding source Predicted life of item considerations Warranty period, availability of parts / loan items, est. lead time for delivery / installation 6. Applicant details Name / Title Contact details Signature Confirmation that the information provided is accurate and complete Date Attachments (if applicable) Vendor quotes (in line with Qld Government standards minimum 3 quotes) Attached detailed scope to obtain quotes Clinical equipment attach complete list including attachments & software contracts Building and Maintenance Services recommendation Biomedical Technology Services (BTS) recommendation Form Create New Position” “Establishment – Form Modify a Position” “Establishment – Supporting literature _(other) Also attach either Form Create New Position” or Form Modify a Position” “Establishment – “Establishment –
Estimated savings Detail the expected savings as a result of this capital expenditure Examples include such items as consumable costs reduced. Estimated savings associated with the expenditure request: Estimated revenue Detail the expected revenue as a result of this capital expenditure Expected revenue associated with the expenditure request: Net cost estimate Calculate “Total cost” less “Estimated savings” & “Estimated revenue” (from above) $ Proposed funding source Predicted life of item considerations Warranty period, availability of parts / loan items, est. lead time for delivery / installation 6. Applicant details Name / Title Contact details Signature Confirmation that the information provided is accurate and complete Date Attachments (if applicable) Vendor quotes (in line with Qld Government standards minimum 3 quotes) Attached detailed scope to obtain quotes Clinical equipment attach complete list including attachments & software contracts Building and Maintenance Services recommendation Biomedical Technology Services (BTS) recommendation “Establishment Form – Create New Position” “Establishment Form – Modify a Position” Supporting literature _(other) Also attach either “Establishment Form – Create New Position” or “Establishment Form – Modify a Position”