UCSD POLICY AND PROCEDURE BUS 29
EQUIPMENT MANAGEMENT – 0953
FABRICATION REQUEST
Non-Inventorial No.
(set by EQM for your access to this FAB in CAMS)
FAB NO.
(set by EQM)
FABRICATION REQUEST FORM
Please complete all the information below and attach additional documentation as necessary. Please
have the PI print and sign this request. EQM will review, sign if approved and return to preparer.
Send To: Equipment Management via email eqm@ucsd.edu, fax: 858-534-8533, or MC 0953
Administrative Contact/Fund Manager
Ext
Department:
Index No.
Custody Code.
Funding Agency:
Fund No.
Location: Bldg.
Room
Estimated Value
Estimated Completion Date
Org No.
Mail Code
,2
Upon completion of the fabrication, title will vest initially with (double click check box, select checked):
University – taxable
Government – non-taxable
Quantity / Description / Function
Quantity:
Fabrication Description:
Equipment Function:
Prepared by:
Principal Investigator (print name)
Equipment Management Approval:
Date:
,2
Department Authorization
Date:
,2
Link to the CAMS. This document will be attached to the Fabrication Non-Inventorial record in
CAMS, and it is recommended that all documents be attached to the record detail.