/ Estate Support Service
FurnitureRequest / Enquiry
Form / F
NOTE: Discuss this request with your Faculty or Central Service, complete all sections and submit to your Estate Faculty Coordinator or for Central Services, Estate Support Services Planning team email: Requests will be prioritised by the Faculty and Central Services and submitted to Teaching and Learning Space Steering Group for funding approval. Funding approval maybe granted for low priority projects if the budget allows
Section 1: Request Reference Details (ESS Use Only)
Enquiry Reference: / Planning Teamgeneratedafter receipt of enquiry: / FUR
  1. ESS Comments (where applicable):

NOTE: Use theabove reference number in all future correspondence
Section 2: RequestDetails
  1. Date of Enquiry:
/ Date: / Month:...... JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / Year:...... 2013 2014 2015 2016 2017 2018 2019
  1. Building/Room:

  1. Roomname/type:

  1. What date is the furniture required for:
/ Date: / Month:...... JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / Year:...... 2013 2014 2015 2016 2017 2018 2019
  1. Provide outline detail of the furniture requested, including type of furniture (supplier reference where available) and number of items required:

  1. Provide a rationale for the furniture request (what it will be used for,how it will enhance student experience and the number of students likely to benefit):

  1. Have you contacted the furniture recycle mail base to see if furniture is available from this source?
/ Yes: / No:
  1. Provide details of why you are unable to source your requirements from the furniture recycling:

  1. Amount of funding requested:
/ £ inc. VAT
  1. Have estimates been obtained from a University authorised supplier?
/ Yes: / No:
  1. If yes, Supplier is:

  1. Date of Quote:
/ Date: / Month:...... JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / Year:...... 2013 2014 2015 2016 2017 2018 2019
  1. Have you read and understood the terms of the Furniture Policy:
/ Yes: / No:
  1. Is the furniture required as part of a larger project?
/ Yes: / No:
  1. If yes, which project:

  1. Please explain why funding for furniture isn’t included within the overall project budget:

  1. What priority would you give to this request:
/ Select from listHighMediumLow
Section 3: Contact Details
  1. Admin / Academic Unit:

  1. Contact:

  1. Job title:

  1. E-mail address:

  1. Telephone numbers:

Section 4: Head of Admin / Academic Unit Approval
  1. Do you give approval to seek funding:
/ Yes: / No:
  1. Approved / Refused by:

  1. Date:
/ Date: / Month:...... JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / Year:...... 2013 2014 2015 2016 2017 2018 2019
  1. Comments (where applicable):

Section 5: Faculty Office / Central Service Approval
  1. Do you give approval to seek funding:
/ Yes: / No:
  1. Approved / Refused by:

  1. Date:
/ Date: / Month:...... JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / Year:...... 2013 2014 2015 2016 2017 2018 2019
  1. Enquiry Priority (High / Medium / Low):
/ Select from listHighMediumLow
  1. Comments (where applicable):

Section 6: T&L Space Steering Group Approval
  1. Steering Group Decision:
/ Select from listApprovedConditional ApprovalRefused
  1. Date:
/ Date: / Month:...... JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / Year:...... 2013 2014 2015 2016 2017 2018 2019
  1. Conditions of Approval (where applicable):

Section 7: Furniture Administrator Use Only
  1. Furniture re-charged:
/ Date: / Month:...... JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / Year:...... 2013 2014 2015 2016 2017 2018 2019