Notification of Lab Move or Closure

This form is to notify EHRS of an upcoming lab move or closure.

This form may be submitted by anyone with information about an upcoming lab move or closure. It should be submitted as soon as possible so that we can help lab occupants to responsibly shutdown operations and prepare to vacate.

This notification will be distributed to the appropriate EHRS staff for follow-up. The PI and Lab Safety Coordinator may be contacted directly by EHRS staff and may receive a notice regarding a BioRAFT self-inspection requirement to prepare the space for the upcoming move/closure. Refer to these Lab Close-Out Procedures for tasks that are required before the lab is vacated.

This is not a lab clearance request. If you wish to submit a lab clearance request have a space cleared prior to renovations or in preparation for a new occupant use this form: Lab Clearance Request Form

Reason for lab closure or move

Building and room numbers where lab is moving

Anticipated Date of Vacancy (approximate)

Optional: Notes about anticipated vacancy date

Who is completing this form?

First and Last Name

Email Address

Are you submitting this form on behalf of another individual?

Lab Information

BioRAFT Lab Name (PI name, Core, etc.)

First and Last Name of Person Responsible for Lab (PI, Director, etc.)

Email Address of Person Responsible for Lab

Optional: Name of Alternate Contact for Lab (e.g. lab manager)

Alternate contact email address

Building Name(s)

Room Numbers to be Vacated

List any lab members who will remain in the space to continue operations (list spaces if applicable)

If you have any other information about this lab closure or move, please provide it below