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Request for Disposal or Surplus of Furniture/Equipment
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Request for Disposal or Surplus of Furniture/Equipment
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Request for Disposal or Surplus of Furniture/Equipment Form
*
- denotes a required field
Requester Information
Requested By:
*
Phone Extension:
*
Cost Center:
*
Completion Date:
*
/
MM
/
DD
YYYY
Completion Time:
*
:
HH
MM
AM
PM
AM/PM
Move From
Move From Department:
*
Move From Building:
*
Move From Location:
*
Reason for Surplus
No Longer Serviceable - For Surplus Or Disposal
Items to be Surplused
List All Items and Tag Numbers:
*
Remarks:
