Equipment Relocation Form

Relocation Request Form

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Non-Central moves require the notification of your Campus Technology Administrator or ETU Coordinator. Please indicate who has been contacted below.

Contact Name ?

Contact Phone # (ext. only) ?

This information pertains to the person requesting the move.

Requestor's Name ?

Requestor's Email @sunysuffolk.edu ?

Requestor's Phone # (ext. only) ?

Date for Move ?

Please enter the number of each equipment configuration that will be relocated.

Computers ?

Printers ?

Mainframe Terminals ?

This information pertains to the current location and who is currently using the equipment.

Campus ?

Building ?

Room ?

Current Users ?

Phones ?

Phone #'s (ext. only) ?

Fax Machines ?

Fax #'s ?

This information pertains to the new location and who will be using the equipment.

Campus ?

Building ?

Room ?

Users ?

Are there any other items not listed above that may require networking or telephone connectivity?

Please Describe here: ? ? ?