Space Assignment / Reassignment Request
Space Assignment/Reassignment Request
Requesting Department
Date
MM slash DD slash YYYY
Requestor
Phone
Email
*
A confirmation email will be sent to this address.
Request for New Space:
Instruction
Research
Office
Storage
Check all that apply
When is space needed?
MM slash DD slash YYYY
Description of Need
What are the implications if allocation of space is not granted?
Have you identified a suitable location that may be available for this space?
Yes
No
If Yes, provide building name and room number(s)
Building Name
Room Number
If Yes, provide building name and room number(s)
Is space currently occupied by another department?
Yes
No
Unknown
Do they support the concept?
Yes
No
Unknown
Have they submitted a Space Assignment/Reassignment Request?
Yes
No
Unknown
Request to Change Function of Space:
*If renovations are required, a Space Modification/Renovation Request Form must also be submitted
Building Name:
Room Number(s):
Current use of Space:
Proposed Use of Space:
Justification for Change:
Request to Release/Retain Space:
Building Name:
Room Number(s):
Current use of Space:
Explanation for No Longer or Still Needing Space:
Signatures:
Department Chair
Date
Dean or Director
Date
Return form to Claude Junkins, Office of Facilities Management, 118 Service Building junkins@maine.edu
Visit Page
Space Assignment / Reassignment Request