Please fill out this form and hit the "submit" button.


Requesting Department:
Slot #:
Department Name:
Division:
Initiator:
Who will be the Project Contact:   (more info?)  
What is the Project Contact's phone number?
Project Building Location:
Room or Project Location:  (more info?)  

 

Project Narrative:
          Please use the space below to provide a DETAILED narrative of the work you want to have done.  This is your opportunity to describe your vision/intent of the end result.  If patients will receive treatment in this project area, please describe the treatment and include whether they will be sedated.  Also, give us an indication of how much funding you have and can commit to this project.  The more information you provide will help us identify and meet your objectives in a timely manner.

 

Concept Approval:
Who is your Department Chairperson:
Are they aware of this request? Yes   No

 

Project Planning Funding:
Dean/Executive Director/Vice Chancellor: Slot #:
Proposed Planning Funding
(Identify account numbers and titles for all sources of funding for project planning.)
Account Number: Account Title: Percent:
- %
2nd Account Number (if needed): Account Title: Percent:
- %
3rd Account Number (if needed): Account Title: Percent:
- %

 

Terms and Conditions:

          1.) DEFINITIONS: UAMS Construction and Contract Management "CCM" Department has created this website to be used as a means of information transfer between  our department and campus parties interested in our services. Submissions made through this website will be considered an "online transaction." Any and all online transactions, authorize our department to begin the project initiation process.

          2.) COSTS: There is no cost associated with the use of this website to submit a request. Once you hit the submit button, your request will be logged into our database. You will be contacted about setting up an initial meeting to discuss this request. It is at that meeting that you will discuss more in detail your needs, and be given a +/-20% estimate for the planning/construction costs. If at this initial meeting, the team cannot come to an estimate, subsequent meetings may be required. You will be charged for those additional meetings.

          3.) ACCURACY OF DATA: The CCM department cannot accept any request that is not accurately submitted. We have taken all steps necessary to ensure that we provide you with all the information necessary during this process. In order for our information to be accurate you must thoroughly and accurately fill in every blank. If you do not receive a confirmation email, then we have not received your request. If you did receive a confirmation, please print it and wait for us to contact you.

          4.) ACCEPTANCE OF TERMS AND CONDITIONS:  Please respond to the following statement: "I have read the terms and conditions listed above, and I acknowledge and agree to adhere to the terms and conditions."

Yes    or   No