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Property Survey
Click on the submit once you have completed the form, a copy will be forwarded to your email account. Gather additional signatures from your approving official, forward a signed copy to distribution center.
Your Email Address:
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Name of Department
*
School or Division
Name of Department Head
*
Date
*
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Description & Serial No.
Tag No.
Date
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Cost
Location
Condition
Description & Serial No.
Tag No.
Date
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Cost
Location
Condition
Description & Serial No.
Tag No.
Date
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Cost
Location
Condition
Description & Serial No.
Tag No.
Date
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Cost
Location
Condition
Description & Serial No.
Tag No.
Date
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Cost
Location
Condition
Description & Serial No.
Tag No.
Date
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Cost
Location
Condition
Description & Serial No.
Tag No.
Date
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Cost
Location
Condition
Description & Serial No.
Tag No.
Date
+
Cost
Location
Condition
Description & Serial No.
Tag No.
Date
+
Cost
Location
Condition
Description & Serial No.
Tag No.
Date
+
Cost
Location
Condition
Description & Serial No.
Tag No.
Date
+
Cost
Location
Condition
Description & Serial No.
Tag No.
Date
+
Cost
Location
Condition
Description & Serial No.
Tag No.
Date
+
Cost
Location
Condition
Description & Serial No.
Tag No.
Date
+
Cost
Location
Condition
Is this item being traded-in? If yes, please attach a copy of the purchase order.
Yes
No
Proposed Disposition:
Does this equipment contain electronic storage media? If yes, please attach the completed Electronic Data Sanitization Verification form. Please note: the Property Management Office will not process your request without the completion of this form.
Yes
No
Name of person to contact for information on this equipment:
Extension
School Dean or Department Administrator:
Date
*
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