Estate Support Service
Enquiry
Form
Furniture Request
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: ess-furniture-enquiry@ncl.ac.uk
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:
1.
Planning Team generated
after receipt of enquiry:
FUR
ESS Comments (where applicable):
NOTE: Use the above reference number in all future correspondence
Section 2: Request Details
2.
3.
4.
5.
6.
Date of Enquiry:
Date:
Month: ............
Year: .............
Building/Room:
Room name/type:
What date is the
Date:
Month: ............
Year: .............
furniture required for:
Provide outline detail of the furniture requested, including type of furniture
(supplier reference where available) and number of items required:
7.
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):
8.
Have you contacted the furniture recycle mail base to see if
Yes:
No:
furniture is available from this source?
Provide details of why you are unable to source your requirements from the
furniture recycling:
9.
10. Amount of funding requested:
£
inc. VAT
11. Have estimates been obtained from a University authorised
Yes:
No:
supplier?
12. If yes, Supplier is:
13. Date of Quote:
Date:
Month: ............
Year: .............
14. Have you read and understood the terms of the Furniture
Yes:
No:
Policy:
15. Is the furniture required as part of a larger project?
Yes:
No:
16. If yes, which project:
17. Please explain why funding for furniture isn’t included within the overall project
budget:
18. What priority would you give to this request:
Section 3: Contact Details
Select from list
19.
20.
21.
22.
23.
Admin / Academic Unit:
Contact:
Job title:
E-mail address:
Telephone numbers:
Section 4: Head of Admin / Academic Unit Approval
24. Do you give approval to seek funding:
Yes:
No:
25. Approved / Refused by:
26. Date:
Date:
27. Comments (where applicable):
Month: ............
Year: .............
Section 5: Faculty Office / Central Service Approval
28. Do you give approval to seek funding:
Yes:
No:
29. Approved / Refused by:
30. Date:
Date:
31. Enquiry Priority (High / Medium / Low):
32. Comments (where applicable):
Month: ............
Year: .............
Select from list
Section 6: T&L Space Steering Group Approval
33. Steering Group
Select from list
Decision:
34. Date:
Date:
Month: ............
35. Conditions of Approval (where applicable):
Year: .............
Section 7: Furniture Administrator Use Only
36. Furniture re-charged:
Date:
Month: ............
Year: .............