Environmental Health & Safety

Laboratory/Equipment Move Form

This form is to notify EH&S of the intent to move a laboratory or equipment.  

By completing this form, EH&S will be able expedite and simplify the move process.


Please complete this form to the best of your ability. EH&S will respond within two (2) business days.



  1. Today's Date

  2. Reason for Request

  3. Point of Contact Name

  4. Point of Contact Phone #

  5. Point of Contact email

  6. Anticipated Move In/Out Date

  7. Department(s)

  8. Building

  9. Room(s)

  10. Responsible PI (if known)

  11. This lab contains (check all that apply):
     Heated perchloric acid over 70%
     Radioactive material
     Radiation-producing machine(s)
     Biological Material(s)
     Controlled Substances

  12. Additional Information


For assistance with this form, please contact us by email or phone (951) 827-5528.


More Information

General Campus Information

University of California, Riverside
900 University Ave.
Riverside, CA 92521
Tel: (951) 827-1012

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Environmental Health & Safety

Environmental Health & Safety
Environmental Health & Safety

Tel: (951) 827-5528
Fax: (951) 827-5122
E-mail: ehs@ucr.edu