- Initial size
 - Growth increment
 - Max size
 - Drive\Volume
 
- Initial size
 - Growth increment
 - Max size
 - Drive\Volume
 
- Initial security needed
 
- Days of week
 - Time of day
 - Type (Full, Differential, Transaction Log)
 - Location (Volume or Drive or Tape)
 
- Include in log shipping
 - Include in database mirroring
 
- Purpose
 - Related application
 - Business Owner
 - Priority
 - User location
 - Operating hours
 - Maintenance hours
 - Development Point of Contact
 - DBA Point of Contact
 
Reference: http://sqlserverquestions.mssqltips.com/7211/new-database-request-form/