Request For Moving, Disposal, or Surplus Equipment

Request for Moving, Disposal, or Surplus Equipment

* - denotes a required field

REMINDER: PLEASE INDICATE WITH POST-IT NOTES ITEMS TO BE MOVED OR DISPOSED OF.

Requester Information
Requested By: *
Phone Extension: *
Email *
List items to be removed in box below: *
Completion Date: Completion Date: * / MM / DD YYYY
Completion Time: Completion Time: * : HH MM AM/PM
Move From
Move From Department: *
Move From Building: *
Move From Location: *
Move To Department: *
Move To Building: *
Move To Location: *
Date Available: Date Available: / MM / DD YYYY
Time Available: Time Available: : HH MM AM/PM
Date For Removal: Date For Removal: / MM / DD YYYY
Time For Removal: Time For Removal: : HH MM AM/PM
Contact# for person in charge of setup Contact# for person in charge of setup * - ### - ### ####
Reason for Moving/Surplus *

Reason for Moving/Surplus For temporary use or special event To storage - Has value and may be reused by the University Surplus – Has value and may be reused elsewhere Disposal - Has no value Unsure - Requires review by Purchasing Dept. call ext. 4338
Enter all asset tag #'s in box below.
If no tag enter N/A *
Remarks:

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