Internal Furniture Move & Disposal Request Form

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Requestor:
Phone Number:
 
Department:
Email:
 
Date Requested
(scheduled based on availability)
:
Pick date
Clear selection
Remove Item(s) From
(Room Number)
:
Item(s) To Be Moved
(For windows: Hold the control (ctrl) button to select multiple options.
For Mac: Hold down the command button to select multiple options)
:
Item(s) To Be Disposed Of
(including bulk disposal)
(For windows: Hold the control (ctrl) button to select multiple options.
For Mac: Hold down the command button to select multiple options)
:
Quantity
(Please indicate the quantity for each type of furniture)
:
Additional Comments/ Instructions:
 

When we have received your form, one of our grounds staff will get in touch with you to make arrangements.

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