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Move Request

Please complete the following for assistance from the Housekeeping Moving Crew.
*Required Fields

Requestor Information:
First Name:*
Last Name:*
Email:*
Telephone:
FAX:
 ?  Customer ID:*
Building:
Floor#:
Room#:
Move Information:
Preferred Date:
Preferred Time:
Move From:* (Building & Floor)
Move To:* (Building & Floor)

Items need to be itemized, and file cabinets and desks must be empty before moving.
Items to Move Qty. From
(Room No.s) 		To
(Room No.s) 		Comments
(Note any damage)
Bookcases
Boxes
Casework Tables
Centrifuges
Chairs
Classroom Tables
Coat Racks
Computer Tables
Conference Tables
Countertops
Credenzas
Desks
Exhaust Hoods
File Cabinets
Folding Tables
Freezers
Hoods
Incubators
Lab Tables
Lamps
Magazine Racks
Refrigerators
Sofas
Typewriters
Typing Tables

If you have any additional comments, provide them in the space below: