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Facilities and Planning

Surplus/Transfer Request

  • This form is for State Equipment Only.
  • For Research Equipment please contact the Research Foundation Office.
  • Please print in landscape format and submit to Michelle Hofstra, Facilities and Planning Office.

Date:  Contact Name : Contact Number:  
Transfer from:

Item
#

Decal No. Serial No. Item Dept.

Acct. #

Building Rm Cond.
1
2
3
4
5

To:

Item
#

Action:
T: Transfer
S: Surplus
S/O: Scrap/Obsolete

 Dept.

Acct. #

Building Rm Cond.
1 T S S/O
2
T S S/O
3
T S S/O
4
T S S/O
5
T S S/O