UNIVERSITY OF NORTHERN IOWA MOVE FORM
Step 1 Requester to complete below information, print, sign and send to Step 2
Requester Name Requester Phone Requester Fax Request Move Date Funding/Account
*Must be atleast 5 characters
Division Dept. Code (Legacy Acct.) Department Name Design Contact

Current Space/Vacated Space #1
Occupant Building Name Room Number Mail Code
New Space
Room Used for Building Name Room Number Mail Code Phone Ext
 Additional Data Ports?   Total Number?    Network Printer?      Fax Machine?


Special Needs \ Comments