Institution:
Primary Project Coordinator:
Department:
Phone:
Email:
Anticipated relocation date:

Type of project:
Office Lab Library Residence Hall

Scope of Project:
Move
Installation

Project Title or Department Relocating:
Department Move Contact:
Current Office Phone:
Cell Phone:
Current Email:
Current Building:
Room number(s):
New Building:
New room number(s):
Square footage of current space or # of people relocating:
Square footage of new space:

Will this be a contents only move (no existing furniture/fixtures moving):
Yes No

Would you like HERS to coordinate new furniture/fixture installations:
Yes No

If yes, please provide contact information if different than above:

Will the department staff be packing/unpacking contents or will you require professional packing services:
Staff Packing Mover Packing Combination

Would you like the option of implementing Green Initiatives in the relocation process:
Yes No

Would you like the option to offer the department end users third party document shredding and off site Records Storage/Management as a means to reduce overall costs for the project:
Yes No