Facilities Department - 419-755-4855 ~ Property Use Policy ~ Office/Classroom Move 17-40 Last revision 3-22-12
Facilities Move Office/Classroom Form 17-401b
FILL APPROPIATE AREA – SIGN AND ATTACH TO A NEW FACILITES SERVICE TICKET IN MY SERVICES
www.ncstatecollege.edu/facilities
Please allow three days for a move or transfer – A separate IT Service ticket will be required for all computer & phone moves.
New Employee
Employee Full Name: ____________________________________ Effective Date ____________
Position: _________________________Department: _____________________ Phone Ext _________
Does the office already have furniture? Yes No
If office doesn’t have furniture please specify below in section (A) what they will need. Fill out and submit a Facilities ticket
with Key & Building Key Card Requisition Form 17-421a attached.
Move Employee
Employee Full Name: ____________________________________ Move Date ____________
Position: _________________________Department: _____________________ Phone Ext _________
Current building ______________ room _______ Move to building ______________ room _________
Fill out and submit a Facilities ticket with Key & Building Key Card Requisition Form 17-421a attached for a new key if
needed. You will need to turn in your previous key(s) and card(s).
Move furniture within office/classroom: (example: need office/classroom rearranged – fill out section A)
Building: ________________ Room ________ Move Date: _______________
Move Classroom Move Date: _______________
Current Building: ________________ Room _______ Move to Building: ________________ Room ________
Other – List details in Section A
APPROVALS:
__________________________________ ________________ ___________________________________ ____________
Requester Date Dean/Supervisor Signature Date
__________________________________ ________________
Director of Facilities Approval Date
SECTION A - Please describe in detail what will be moved for this request and/or attach a floor plan:
click to sign
signature
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click to sign
signature
click to edit
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click to sign
signature
click to edit
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