SWCC Offic
V1. 09/19/2017
e Relocation Request
Employee requesting relocation:____________________________________________________
Department:____________________________________________________________________
Reason for move:_______________________________________________________________
Current Location:_________________________ New Location:__________________________
Date Desired for Move:____________________________
Technical equipment to be moved (include blue tag #, red tag # or serial #):
Computer _____________________________(tag or serial #)
Phone _______________________________(ext #)
Printer _______________________________(tag or serial #)
Other _____________________________________
Employee Signature:_____________________________________________ Date:___________
Supervisor Signature:____________________________________________ Date:___________
VP:__________________________________________________________ Date:___________
To be notified:
IT HR
Facilities Asset Manager
Mail Room Web Master
Switch Board Operator Telephone Manager
Campus Police