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Hospital Moving Request Form:

One week prior notice of the move date is requested.

             
  Requestor:*
  Phone:*        
  From Room Number*        
  To Room Number*        
  Date of Move*
  Time of Move:*    
  Department:*        
  e-mail address*        
             
    * required fields        
             
             

Please list items to be moved. Describe and include quantity and size.

File Cabinet Moving: All file cabinet drawers should be emptied prior to move unless other arrangements are agreed upon prior to a specific move.

 

 


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