Visit the VUMC home page.
POST OFFICE STATION 17 Address Request
Online Form
REQUEST A NEW OR REVISED ADDRESS
Please complete the following to initiate the process of your address request.
BROWSER NOTE:  Internet Explorer is recommended.  Netscape will work but in some versions you may have to reload the page in order to see all your entries in the blanks.
Contact information for person making request:
Name of Person Requesting: 
Extension:
Your Dept:
(This is only for contact purposes. This is not necessarily the address you are changing.)
Your e-mail address:@
(This will be used to send you a confirmation copy of this request.)

Information about the change you need to make:
Is the new address for:

A brand NEW department created from scratch?
A complete MOVE of an existing department (old address is canceled)?
A unit SPLIT off from an existing department (some staff remaining at old address)?
 

If a MOVE or SPLIT—  

Choose the affected address here:

 
If NEW or SPLIT, enter below the name under which the new activity will operate:
(This cannot duplicate any existing department name. If needed, we will consult further after receiving your request.)
Where is the
new location?		 Room:
 Building:
When should mail
service begin there?		 MONTH: DAY: YEAR: 20

NOTE: Construction & other delays may cause this date to slip. We will work with you as needed.  However, please be aware that the above date should be set no sooner than TEN DAYS from the submission date of this form, in order to allow adequate processing time.

Will there be pneumatic tube service in the new location?
  YES, at station #: NO
  YES, but do not yet know station # NOT SURE
The area below provides space for any comments or additional information you feel may be helpful in processing your request.  For Hundred Oaks tenants, please include any special needs for chart, film, or specimen deliveries.



OK, I'm satisfied—
submit my request.

WAIT—let me check
my formatted data first.

UH-OH—clear the form
and let me start over.
 
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