Office Move - Staff

I acknowledge that I have read and understand the office move policy.
ID number of the person moving
First name of person moving
Last name of person moving
Extension of person moving
Office Information
Moving out of this room
Moving into this room
Proposed date of office move.
If you are new or returning, when will you arrive?
To help us contact you, please provide us with any dates that you may be away.
Facilities Services Information
When switching from one office to another office, even within the same department, a new key should be requested. Even if you are switching offices with someone in the same department. The old and new key can be swapped at the Facilities Services front desk.
Will you need Facilities Services help to move?
List keys needed, if any
Your name, as it should appear on the nameplate
Number of boxes to be moved on day of move

Standard furniture (desk, computer table, visitor's chairs, file cabinets, bookcases, trash and small recycling cans) should not be moved from your current office. Your new office will have similar items. Your desk chair will move with you. 
Moving personal items is the responsibility of the owner. If personal items are boxed and then damaged while transported, then Facilities Services is not responsible.

Please do not include any of the items listed above.
Number of moving boxes needed, if any
ITS-Computer/Printer Information
Telephone Services Information
This is for a shared phone within an office or a staff member who has more then one extension in an office.
NOTE: If you have not received an ergonomic evaluation of your office or would like to have another due to your move, please contact Jennifer Kazmierczak ( for an appointment.

Facilities Services

84 South Service Road
Middlebury College
Middlebury, Vermont 05753