Allegis Move Request Form

Primary Contacts

Project Manager*

Project Manager (Other)

Local point of contact information

Name*

First Last

Email*

Phone Number*

Cell Phone Number

Office Information

Business Name*

Business Name (Other)

Project Type*

Is this a move within the origin building?

Yes
No

Origin Address*

Street Address Address Line 2 City State ZIP Code

Destination Address

Street Address Address Line 2 City State ZIP Code

Do you require mover assistance?*

Yes
No

Crates and Boxes Only

Request Mover's Assistance

Mover will schedule a visit to provide an estimate.

Do you require boxes?*

Yes
No

Requested delivery date for boxes

Do you require crates?*

Yes
No

Please note, if crates are requested and not available in your market, the mover will provide boxes.

How many crates do you need?

Requested delivery date for crates

Requested pickup date for crates

Do you need dollies?*

Yes
No

Number of people relocating*

Number of offices*

Number of cubicles*

Move Timing

Preferred move date*

Move during normal business hours?*

Yes
No

Will advise?*

Yes
No

What are buildings assigned times?*

Start Time (am/pm)	End Time (am/pm)

Storage required by mover?*

Yes
No

Building Policies

Please make reservations for elevators and loading areas during move and crate delivery/PU.

COI/Building Requirements

Drop files here or

Max. file size: 8 MB.

Please upload any COI or building requirements documents here.

Decommission

Junk removal/disposal

Furniture disposal?*

Yes
No

Electrician to disconnect cubicles/systems furniture?

Yes
No

Signage removal in lobby?*

Yes
No

Patch and paint wall after signage removal?

Yes
No

Refrigerator disposal?*

Yes
No

Refrigerator ice maker disconnect required?

Yes
No

Dishwasher removal?*

Yes
No

Dishwasher disconnect required?

Yes
No

Microwave disposal?*

Yes
No

Misc. junk removal?*

Yes
No

Describe what needs to be removed.

E.g., white boards, old printer, plants, etc.

Broom swept condition?*

Yes
No

Vacuum required?

Yes
No

Patching holes throughout suite?*

Yes
No

Patching level required

Level 1: Mover fill holes
Level 2: Requires skilled repairman
Level 3: Requires skilled repairman and painting

Additional Comments

Any questions or concerns regarding mover’s please contact Steve Delane
301-643-6973
sdelane@alexanders.net