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Request for Moving Form


RequestedBy:
Date:
Phone Extension:  
Cost Center:
Date To Be Completed:
Time To Be Completed:
Move From Department: Building 
  Location: 
 
Move To Department:  Building: 
  Location: 
Reason For Move:For Permanent Transfer
To Storage – No Longer Needed
For Temporary Use Or Special Event

Items To Be MovedTag 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

Your department may be charged for any lost, damaged, or misplaced tables or chairs.

Remarks: