Equipment Move/Change Checklist

Please fill out the below areas in the Equipment Move / Change Checklist Form.

Equipment Move Requester:

Supervisor Name:
Supervisor's Email: @ cravencc.edu
Requester's Name:
NOTE: Please get Supervisor's approval before submitting the Equipment Move / Change Checklist.
Requester's email: @ cravencc.edu

Equipment Information:

Equipment Name/Type:
NOTE: Phone moves may take up to two weeks to process.		 (Example Dell Computer)
Requested Date of equipment move: (Example, April 10, 2012)
Department using the equipment:
Current Location:
Campus:
Building:
Room:
New Location:
Campus:
Building:
Room:

Additional Notes:

If you have special instructions or comments, please replace the "None." and add your instructions/comments.

To avoid a false submission, type into the Text box: and then select the "Submit Form" Button.