Workspace Relocation Form
Name of employee to be moved:
*
First Name
Last Name
Description of destination location:
*
Target Date for move:
-
Month
-
Day
Year
Date
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12
:
Hour
00
01
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59
Minutes
AM
PM
AM/PM Option
Special Instructions:
Employee has been notified of move:
*
Yes
No
NOTICE: Employee is required to move personal belongings in and around IT equipment prior to move. IT will disconnect and reassemble Welty owned IT equipment and peripherals only.
HR (KAREN) ONLY
HR Approval:
Approved
Not Approved
Hold off for now until discussed further
Comments:
Submit
Should be Empty: