This section collects your identification details and current workspace location to process your request efficiently.
Full Legal Name
Employee ID/Personnel Number
Job Title/Role
Department/Business Unit
Official Email Address
Direct Phone/Extension
Current Building Name/Code
Current Floor Number
Current Desk/Workstation Number
Current Zone/Area Description
How many months have you been at your current desk?
What is your primary reason for this workspace change request?
Team relocation or reorganization
Need for specialized equipment setup
Accessibility or ergonomic requirements
Seeking different work environment (quieter/collaborative)
Career progression or role change
End of temporary assignment
Personal preference for different location
Other
Has your direct manager approved this workspace change request?
Which days of the week do you typically work on-site? (Select all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Detail your preferred new location and scheduling requirements. Provide alternatives to increase approval chances.
What type of workspace are you requesting?
Permanent assigned desk
Hot desk (first-come, first-served)
Dedicated collaboration pod
Quiet focus room
Accessible workstation
Managerial office
Project-based temporary space
Target Building Name/Code
Target Floor Number
Target Desk/Workstation Number (if known)
What are your location preferences? (Select all that apply)
Near my current team members
Near specific colleagues (specify in comments)
Close to windows/natural light
Proximity to elevators or accessibility routes
Near restrooms or kitchen facilities
Low-traffic quiet area
High-energy collaborative zone
Near client meeting rooms
Flexible space with booking system
Do you have specific colleagues you need to sit near for collaboration?
Rank your top 3 location priorities (1 = Most Important)
Proximity to team | |
Natural lighting | |
Quiet environment | |
Accessibility features | |
Near amenities | |
Client meeting access |
Preferred Move Date
Alternative Move Date (if first choice unavailable)
What is the urgency level of this request?
Critical - Business operations impacted
High - Required for upcoming project deadline
Medium - Standard request within 30 days
Low - Flexible timing within 60 days
Rate the importance of this location move for your productivity (1 = Not Important, 5 = Critically Important)
Would you accept an alternative location if your primary choice is unavailable?
Do you require a floor plan or site visit before finalizing your request?
Special Location Requirements or Accessibility Needs
Detail your computing and peripheral requirements. Indicate whether equipment will be transferred from current desk or requires new procurement.
Primary Computing Device Details
Device Type | Manufacturer & Model | Asset Tag/Serial Number | Operating System | Transfer to New Desk? | Requires Upgrade? | |
|---|---|---|---|---|---|---|
Laptop | Dell Latitude 5520 | ASSET-78945 | Windows 11 Pro | Yes | ||
Desktop PC | HP EliteDesk 800 | ASSET-32109 | Windows 11 Pro | Yes | ||
How many total monitors do you require at your new desk?
Monitor Specifications
Monitor Number | Screen Size (inches) | Resolution | Orientation | Curved Display? | Transfer Existing? | Estimated Cost if New | |
|---|---|---|---|---|---|---|---|
1 | 27 | 2560x1440 | Landscape | Yes | |||
2 | 24 | 1920x1080 | Portrait | Yes | |||
Docking Station Requirement
USB-C Thunderbolt 4 Dock (recommended for modern laptops)
USB 3.0 Universal Dock
Proprietary Manufacturer Dock (Dell/HP/Lenovo)
No dock needed - direct connections only
Wireless docking solution
Require new dock purchase
Transfer existing dock
Select all required input devices:
Standard wired keyboard
Ergonomic wireless keyboard
Mechanical keyboard
Standard wired mouse
Ergonomic vertical mouse
Wireless mouse
Trackball mouse
Graphics tablet with stylus
Presentation clicker
Do you require specialized ergonomic input devices due to medical needs?
Audio/Video Equipment Needed:
USB webcam (1080p)
USB webcam (4K)
Wireless headset for calls
Wired headset for calls
External speakers
USB microphone for recording
Noise-canceling headphones
Speakerphone for conference calls
Networking & Connectivity Requirements:
Gigabit Ethernet adapter
Wi-Fi 6E USB adapter
USB-C to Ethernet adapter
Network switch for multiple devices
USB hub (powered)
USB hub (unpowered)
Power Management & Protection:
Surge protector (6-outlet)
Surge protector (12-outlet)
Uninterruptible Power Supply (UPS)
USB charging station
Wireless charging pad
Rate the priority of each equipment category (1 = Low Priority, 5 = Critical)
Primary computer/laptop | |
Monitors | |
Docking station | |
Keyboard & mouse | |
Audio/video equipment | |
Networking adapters | |
Power protection |
Do you require any specialized equipment not listed above?
Cost Center/Budget Code for New Equipment
Additional IT Equipment Comments or Justification:
Specify any special physical access, security clearances, or cable infrastructure needs for your new workspace.
Do you require wheelchair accessibility or mobility accommodations?
Do you require adjustable height desk (sit-stand capability)?
Do you need access to restricted or secure areas on the target floor?
Will you require after-hours or weekend access to the building?
Do you need your security key card updated for new floor access?
Cable Management Preferences:
Under-desk cable tray (metal)
Under-desk cable tray (plastic)
Cable sleeves or spiral wrap
Adhesive cable clips for monitor arms
Wireless peripherals preferred (minimize cables)
Cable management box for power strips
No preference - standard setup acceptable
How many power outlets do you need within 6 feet of your desk?
Do you need USB charging ports integrated into power outlets?
Does the target location have sufficient active network ports?
Privacy and Environmental Preferences:
Desk-mounted privacy screen
Monitor privacy filter (anti-glare)
Task lighting (desk lamp)
Natural light preference (near windows)
Temperature control (near thermostat)
Low-noise zone away from printers/cafeterias
Acoustic paneling nearby
Personal storage locker nearby
Do you need lockable storage at or near your new desk?
Will you have regular visitors (clients, colleagues) at your new workspace?
Additional Special Access or Infrastructure Requirements:
This section is for Facilities Management and IT Helpdesk use only. Requestors should not complete this portion.
Facilities Pre-Move Checklist
Checklist Item | Completed | Verified By | Completion Timestamp | Notes/Issues | |
|---|---|---|---|---|---|
Target desk space measured and cleared | 6/30/2025, 9:00 AM | ||||
Furniture condition assessed (desk, chair, storage) | 6/30/2025, 9:00 AM | ||||
Power outlets tested and verified functional | 6/30/2025, 9:00 AM | ||||
Network ports tested and labeled | 6/30/2025, 9:00 AM | ||||
Accessibility compliance verified (if applicable) | 6/30/2025, 9:00 AM | ||||
Safety hazards removed (cables, debris) | 6/30/2025, 9:00 AM | ||||
Building access updated for new floor | 6/30/2025, 9:00 AM | ||||
Parking assignment updated (if required) | 6/30/2025, 9:00 AM | ||||
IT Equipment Compatibility & Setup Checklist
IT Checklist Item | Completed | Verified By | Completion Timestamp | Technical Notes | |
|---|---|---|---|---|---|
Computer asset verified in inventory system | 6/30/2025, 10:00 AM | ||||
Monitor specifications compatible with PC/laptop | 6/30/2025, 10:00 AM | ||||
Docking station compatibility confirmed | 6/30/2025, 10:00 AM | ||||
Network port activated and VLAN assigned | 6/30/2025, 10:00 AM | ||||
Software licenses verified for new location | 6/30/2025, 10:00 AM | ||||
Peripheral drivers installed and tested | 6/30/2025, 10:00 AM | ||||
Wireless connectivity tested | 6/30/2025, 10:00 AM | ||||
Security compliance check completed | 6/30/2025, 10:00 AM | ||||
Equipment delivery scheduled | 6/30/2025, 10:00 AM | ||||
Facilities Approval: Is the target workspace ready and compliant?
IT Approval: Is all equipment compatible and can setup be completed?
Approved Move Date
Scheduled Setup Completion Time
Post-Move Satisfaction Survey (to be completed after move)
Very Dissatisfied | Dissatisfied | Neutral | Satisfied | Very Satisfied | |
|---|---|---|---|---|---|
Workspace meets described requirements | |||||
Equipment setup quality | |||||
Facilities support timeliness | |||||
IT support effectiveness | |||||
Overall move experience |
Additional Comments or Special Instructions for Move Team:
I acknowledge that I have reviewed all requirements and understand that incomplete information may delay processing
I agree to comply with all workplace safety and IT security policies in the new location
Do you want to receive email notifications at each stage of the request?
Requestor Digital Signature