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Move/Space Request Form

Note: This form is for furniture requests involving any construction, renovation, cabling, electrical, phones or additional space components. To request new furniture and/or artwork, submit a Furniture/Artwork Request Form.

UMMC Move / Space Request Form

Desired Move Date*  
Requestor*
Department Head*
Department Name* 
Telephone Number*() - x   
Email Address* 

Current Space

Use* 
Location* 
Square Footage* 
Is this space marked Hazardous?*
 

Desired Space

Desired Location* 
Is this request for*


 
Is this space marked Hazardous?*
 
Describe Space Need or Work Requested
Has it been funded?* 
Accounting Unit (8 Digit Dept. Charge Code) or Funding Source* 
Download the M.A.C. Move Form here. Please fill out the form and upload below.
Upload the M.A.C. Move Form
*.txt,*.doc,*.docx,*.xls,*.xlsx,*.pdf
The Department Head/Chair has approved this move request.*