Project Request Form

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Project Request Form

The University of Louisiana at Monroe Physical Plant Original Request Date: Department: Building: Existing Use: Existing Area (SF): Revised Request Name: Phone: Room(s): Proposed Use: Proposed Area (SF): YES NO

Will temporary relocation be necessary during the project?

Project Description: (what is required, why is it required, what materials are preferred, what equipment / furnishings are preferred) Attach additional sheets and sketches as necessary.

Proposed Completion Date:

Funding Source:
Estimated Cost: Account Name: Budget Unit Head Name: Amount Available: Account Number:

Approvals:
(Your signature below reflects your approval of the proposed project, but does not obligate the funds to the project, this form only authorizes the physical plant to get a detailed estimate prepared and present it to the responsible person with a funding letter, the funding letter is the document that obligates funds) Department Head: Dean / Director: Vice President: Date: Date: Date:

Project Request Form Instructions


The University of Louisiana at Monroe Physical Plant Requirements A project request form is required to be completed for any project that will modify a University facility. A University facility for the purposes of this form is any facility, structure, or land that the University owns, rents, or leases. Form Instructions 1. Please check if this is an original request or a revised request. 2. Complete the date, name, University department, and phone number sections. The phone number should be your campus phone number. 3. Identify the building by its full names and provide the room numbers that will be affected by the project. 4. Identify the existing use of the space (i.e. classroom, office, laboratory, storage, etc.). Then complete the proposed use of the space. 5. If known enter the existing area that will be affected by the project (report area in square footage). If known enter the area that will exist once the project is completed. 6. Check whether or not temporary relocation will be required during the project. 7. Provide a detailed project description. Be sure to include all sketches and other ideas for the project. Be as detailed as possible. Also give a justification for the project (what is the need, why is the project required). Also under date needed by please fill in the ideal date that the project needs to be completed by and explain why it has to be completed by this date. 8. Under the funding section provide a rough estimate of the work if possible. Provide the amount available for the project (from this we will be able to determine if adequate funds are available to complete the project.). Enter the account name and account number, and also the budget unit head for that account. For projects that will come out of more than one account please detail the account information and the percentage to be charged to each account on a separate document, and attach it to this form. 9. Under the approvals section please obtain the appropriate signatures as requested. 10. Once all signatures have been obtained and the form completed please send it to the ULM Facilities Planning Office, located in the Physical Plant Building. Once your form is received we will make every effort to provide a detailed estimate for the project within ten working days, however, large or complex projects will take longer. For any questions or problems with the form please contact Jason Roubique, Facilities Planning Officer at the ULM Physical Plant. Mr. Roubique can be reached by phone at 318-342-5171 or by e-mail at [email protected].

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