Storage Request/Return Form

 Indicates Required Field
 
NOTE:
Each box must be identified with numbered label,
provided by Physical Plant; for more labels phone 474-9646
or email wallace_stores@umanitoba.ca.
 
Date:mm/dd/yyyy
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Request for:
Requested by Department:
 
Contact Name:
Telephone:
Return/Pickup location: 
Email:
 
Note: A copy of this form will be emailed to this address upon completion.
Send me this email as HTML instead of plain text.
Box Label # / Content:
(example: PPL-9999 / timesheets)
 
Estimated Expiry Date:mm/dd/yyyy
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