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: .............