A & I Request Form

Alterations & Improvements checklist Items
This checklist will be used by the project manager at first meeting with requestor or contact person.
1) What are you trying to achieve; what is the end product? Are there any alternatives?
2) Do you have a budget you are trying to stay within?
3) Do you have available funds? Who is the funding source?
4) What are the constraints; when can we do the work? What is the time frame for completion? Do you have any research time constraints?
5) Is there another way to achieve what you want without altering the building?
6) Do you have a particular contractor you want us to get a price from?
7) What services do you need to support your end product?
o	ADA	o	Locks and Keys*
o	Air Conditioning*	o	Security and Safety*
o	Appearances	o	Signage*
o	Audio/Visual	o	Special Lighting
o	Ceiling Tile	o	Sound Treatment
o	Computer**	o	Telephone**
o	Electrical*	o	Wall Coverings
o	Floor Finishing	o	Window Treatments
o	Human Compatibility	o	Asbestos/Lead Abatement
o	UMPC Approval Required?
Items with * may require separate work order. If Physical Plant assistance is required, additional charges will be incurred.
Requester will need to notify Telecommunications dept. @ 3-5252 regarding changes/additions to items with . Separate charges will be incurred.**
8)To be signed at time of meeting with the Project Manager.
Requester’s Signature: __________________________ Date: __________
Click here to download a printable Checklist (in Word .doc format)