| Name: |
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| Department: |
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| Account Number: |
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| E-Mail address: |
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OFFICE INFORMATION:
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| Occupant Name: |
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| Phone Number: |
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| Phone Number |
(if different at new location): |
| Network jack Number: |
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| Phone jack Number: |
(if different from network jack) |
| CCTR Number of Computer: |
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| FAX number (if applicable): |
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MOVE INFORMATION:
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| Current Office Location: |
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| New Office Location: |
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Facilities can provide plastic moving boxes for your paper work and smaller items. The boxes are 23x17x13 inches and can hold about one full file drawer's worth of paper.
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| Please estimate how many boxes you need for your move: |
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| Do you want large recycling totes in preparation for packing? |
Yes No : qty |
| What, if any, items do you plan to SurPLUs? |
Remember to label all SurPLUs items. |
| Is there furniture moving with you? |
|
| Desk: |
Yes No : qty |
| Chair: |
Yes No : qty |
| File cabinet: |
Yes No : qty |
| Bookcase: |
Yes No : qty |
| Shelves: |
Yes No : qty |
| Photo-copier: |
Yes No : qty |
| Other: |
Yes No : Describe: |
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We will choose a move date for you based on the schedule and how your move fits in with others on campus. However if we can, we would like to pick a time close to what you would prefer.
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QUESTIONS FOR SCHEDULING YOUR MOVE:
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| What is the EARLIEST possible date you can move? |
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| What is the LATEST possible date you can move? |
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| What would be your ideal move date? |
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| Do you need to be present for the move? |
Yes No |
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We want to make sure your new office is ready
for you to move into. The following questions
will tell us what we need to plan for and make
sure you have everything you need. Some things
will just take time to schedule in, others there
may be an associated cost, in which case your
department will be contacted.
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FOR YOUR NEW OFFICE:
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| Does your office need to be repainted? |
Yes No |
| Does the carpet need to be cleaned? |
Yes No |
| Do the blinds need to be cleaned? |
Yes No |
| Does the carpet need to be replaced? |
Yes No |
| Are power outlets and data/phone ports in the right places? |
Yes No :
If not, which walls need them them (N,S,E,W)?
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| Do you have ENOUGH power outlets and data/phone ports? |
Yes No :
If not, where would like new ones?
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| Do the lights work properly? |
Yes No |
| Have you submitted a key request for new office keys? |
Yes No |
| Which (if any) walls need shelves or pictures hung? (N,S,E,W) |
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