Desired Date of Move Person we should contact
Department Telephone Number
Account Number Fax number
Moving From: Building Moving To: Building
                    Room                     Room
Email address Do you require a cost estimate? Yes  No

Fill in the quantities of each item to be moved by the Moving Office
desks chairs file cabinets
book cases tables credenzas
storage cabinets boxes
other (please describe)

Important: Submit this request at least 15 working days before your planned move date.