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UNI - Facilities Services Move Form

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?

Current Space/Vacated Space #2

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?

Current Space/Vacated Space #3

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?

Current Space/Vacated Space #4

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?

Current Space/Vacated Space #5

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?

Current Space/Vacated Space #6

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?

Current Space/Vacated Space #7

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?

Current Space/Vacated Space #8

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?

Current Space/Vacated Space #9

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?

Current Space/Vacated Space #2
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?

Current Space/Vacated Space #3
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?

Current Space/Vacated Space #4
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?

Current Space/Vacated Space #5
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?

Current Space/Vacated Space #6
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?

Current Space/Vacated Space #7
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?

Current Space/Vacated Space #8
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?