05-2013
MOVE REQUEST FORM
Instructions: Complete proper areas of the form to notify appropriate personnel about moves, office space needs, changes, equipment, furniture moves, and other telephone service needs. Have signatures in appropriate area. Send original to:
New Employee Office Space Request
Employee Name:______Employee I.D. No.______
Job Title:______Employee Date:______
Would like office space in ______Building______
Information Technology Services Requested (Please check Yes or No)
Telecommunication Services:
Is there an existing telephone? Yes No If Yes, Existing Telephone No.______
Do you need voicemail? Yes No
Do you need unified messaging (To receive voice messages in your email)? Yes No
Do you need long distance? Yes No
Special Request ______
Desktop Services:
Is there an existing network connection? Yes No
Is there an existing workstation? Yes No If Yes, Please provide model information (ie. Dell GX620) ______
Are there any other devices or special software that will need to be installed ______
Change Office Space Request
Employee Name______Employee I.D. No.______
Present Office Space-Room______Building______
Would like office space - Room ______Building______
We would like to move by______
We will need maintenance to move the following items:______
Need desk side recycling bin ______
Other______
Information Technology Services Requested (Please circle Yes or No)
Telecommunication Services:
Is there an existing telephone in the new location? Yes No If Yes, Existing Telephone No.______
Desktop Services:
Is there an existing network connection? Yes No
Is there an existing workstation? Yes No If Yes, Please provide model information (ie. Dell GX620) ______
Are there any other devices or special software that will need to be installed ______
The requestor will need to box all items to be moved. Boxes are available in Facilities Services at Extension 6000.
Request submitted for final approval: ALL SIGNATURES ARE REQUIRED.
Division Name:______Date: ______Supervisor/Manager/Department Head: ______Phone: ______
Contact Person: ______Phone: ______
Campus Dean / Division VP Executive Director of Facilities Management
Signature: ______Signature: ______
Date: ______Date: ______
FOR USE OF Information Technology Services ONLY
COST ESTIMATES FOR THIS MOVE: ______
COMMENTS RELATED TO THIS MOVE: ______