Copier Move Request Form

Department*

Contact Name*

FirstLast

Contact Location*

Contact Phone #*

Contact Email*

Do you need to move an existing location?*

Yes
No

What is the current room location?

What is the OPS # (found on the copier)?

Please note that there may be a charge of $150 to move the copier. Please provide an ICB# here and send the ICB to Jason Anderson at Graphic Services.

What is the desired move/installation date?

Where is the copier to be located?

Do you require a Campus Card reader? (+1 network jack)*

Yes
No

Do you require fax capability? (+1 phone line)*

Yes
No

Do you require print/scanning capability? (+1 network jack)*

Yes
No

Given the networking requirements described in the three previous questions, does the new location have a sufficient number of network/phone connections?

Yes
No
I don't know

Please provide any jack numbers to be used (should be found on the front of the network jack plate), if you can find them.

Has the machine already been moved?

Yes
No

Please provide a meter read (if possible) from the machine.

Graphic Services

Graphic Services

Copier Move Request Form

Photocopier Move Request Form

Photocopier Move Request Form