Division of Information and Communication Sciences

Contact details

Name:	Email:	Phone:

End User's name:	Email:	Phone:

The end user of the equipment to be relocated. We may need to contact this person to arrange a suitable time to relocate the equipment.

Relocation details

Details of equipment which is to be relocated. If numerous items are being moved, DO NOT submit multiple relocation requests. Simply enter details for each item on a separate line below. For each item, enter the following details:

Equipment description : Plant Number

Location: Plant Number is the yellow bar coded label affixed to the equipment.

Eg. Computer Main Unit : 99-1234 Video Display Unit : 99-5678

From:	To:	When:

Other Details and Instructions:

Please check all details. Submit your request by clicking the Submit button below. To clear the form and start over, press the Reset button. You can print this form and give it to CTS personally.