Request for Disposal or Surplus of Furniture or Equipment

Request for Disposal or Surplus of Furniture or Equipment


Requested By:
Date:
Phone Extension:  
Cost Center:
Date To Be Completed:
Time To Be Completed:
Move From Department:
 
Building:
Location:
Location:

Reason For Surplus: No Longer Serviceable – For Surplus Or Disposal

Items To Be SurplusedTag Number

Remarks: