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  Equipment/Furniture Move Service Request Return to Asset Mgmt.- Mail Drop 8209
Log Number: _________________
Name of School, Department or Administrative Area Page of
LINE
I. Property Information: Please complete all sections and include the Serial Number:

Click to enter additional items
Asset #
Description
Serial Number
From: (Dept, Bldg, Rm)
To: (Dept, Bldg, Rm)
II. Moving Information:
Have items already been moved? YES NO

If items have not been moved, please enter:

Name of Contact Person / Phone / Mail Drop:

Date Needed By: Person Receiving Items:    Phone:



Signature: _________________________________      Date: __________



Signature: School Dean Or Administrative Dept. Head _________________________________      Date: __________