Request for Moving Form

* -denotes a required field

Requester Information
Requested By: *
Phone Extension: *
Cost Center: *
Completion Date & Time
Date To Be Completed: * / MM / DD YYYY
Time To Be Completed: : HH MM AM/PM
Move From
Move From Department: *
Move From Building: *
Move From Location: *
Move To
Move To Department: *
Move To Building: *
Move To Location: *
Reason For Move:
For Permanent Transfer To Storage – No Longer Needed For Temporary Use Or Special Event
Items To Be Moved
Tag Number
If this request is for a temporary use or for a special event provide the following information:
Date And Time Area Will Be Available:
Contact Information For:
Person In Charge Of Set-up:
Date And Time For Removal Of Items:
Note: Your department may be charged for any lost, damaged, or misplaced tables or chairs.
Remarks:

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