Property Control Form No. 1
Revised November 2014
Change in Status and Location of Property
TO:
Director of Property Control
FROM:
DATE:
TAG NUMBER:
DESCRIPTION:
PRESENT LOCATION:
(Building/Room Number)
REQUEST TO: (Please complete one of the following)
1. TRANSFER TO:
(Department/Office)
2. SEND TO SURPLUS:
(Building/Room Number)
3. SCRAP:
Condition:
4. DISMANTLE FOR PARTS:
Condition:
5. LOAN TO:
Reason:
6. TRANSFER TO DEPARTMENT IN NEED:
Dept/Loc:
(To be determined by Property Control)
Please note below, yes or no, if this equipment has electronic storage capability that Information
Technology has sanitized:
Yes
No
REMARKS:
_____________________________________
(SIGNATURE OF PERSON PREPARING FORM)
Date:________________________
APPROVED:
Department Head: _______________________________
Date:________________________
Dean: __________________________________________
Date:________________________
RECEIVED: (only for transfers)
Department Head: _______________________________
Date:________________________
Dean: __________________________________________
Date:_________________________
Entered by: _________________
DATE RECEIVED IN PROPERTY CONTROL
Date:_______________________
__________________________________________
Transfer #:__________________