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2. This form is used to request administrative review before there is a substantive change in the use of any space or relocation of one or more employees. This does not include those that occur as part of approved capital projects.
4. Name of Department Head Requesting Change*
6. Check all that apply*

   1. Space Change

   1. Personell Move
7. Requested Date for Completion
   Requested Date for Completion
9. Describe what's being requested. *
   Be thorough. List all employees to be relocated as well as their current and proposed locations. Describe any work you think may need to be done such as minor construction, repairs, painting, wiring, furniture moving, etc.
11. Do you expect to need help from Buildings & Grounds?*

    1. yes

    1. no
13. Please note: This form does not replace formal work orders currently required for moving furniture, painting, etc.
15. Explain why this change is needed. *
17. file 1
    Upload files if needed (floor plans, photos, etc.)
18. file 2
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field