Accommodation Request Form

Section 1- Initial Meeting
Date
Facilities Representative

Location

Level

Wing

Branch

Customer Name

Best Contact Number

Expected Delivery Date
Section 2 - Existing Layout

Does an Existing Layout Need to be Considered

Section 3 - New Layout

Are New Offices Required

Section 4 - Special Considerations

Will Information Services Need to be Involved

Is There a Requirement for Extra Data Outlets

How Many are Required

If There is a Printer Does it Need to be Relocated

Is There a Requirement for an Electrical Contractor

What is the Requirement

If the Response is Other- Provide Details

Will the Request Involve the Need to Engage our Air Conditioning Contractor

Provide Details

Will the Request Need to Involve our Fire Contractor

If the Response is Yes, Provide Details

Section 4 - Project in Detail
Insert a Plan of the Area

Explain the Request in Detail

Provide the Non Negotiables

Provide Negotiables

Section 5 - Sign off

Do the Details Captured Provided Fulfill the Needs of This Request

Customer Sign off
Facilities Representative
Section 6 - Trades Information

Structural Engineer

Contractor Company Name

Company Contact

Contact Number

Mechanical Contractor

Company Name

Company Contact

Contact Number

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.