|
Name or Description of Item
|
|
| R.U. Property Tag number |
|
| Item Serial Number |
|
| Manufacturer |
|
EQUIPMENT TRANSFER |
| Previous Location |
| Department |
|
| Building |
|
| Room |
|
Current Location
(Where equipment was transferred to)
|
| Date of transfer |
|
| Department |
|
| Building |
|
| Room |
|
| |
|
Other
(Select either Trade-In, Warranty Replacement, Stolen or Lost)
|
|
Trade-In Equipment for Purchase of New Equipment
|
List the P.O. Number
referencing trade-in
|
|
| |
Asset tag # of trade-in
|
|
| |
Serial # of trade-in
|
|
| |
Date trade-in surrendered to vendor
|
|
|
Warranty Replacement
|
Asset tag # of equipment being replaced
|
|
| |
Date surrendered to vendor
|
|
| |
Asset tag # of replacement equipment
|
|
| |
Serial # of replacement equipment
|
|
| |
Date the replacement was received
|
|
| Stolen |
Last Known Location |
|
| |
Date stolen |
|
| |
Police Department and Police Report Number |
|
| Lost |
Last Know Location |
|
| |
Date item was identified as lost |
|
Comments
|
|
Prepared by
Date
|
Please print before sumitting report. |