Equipment Disposable

Fill in as completely and accurately as possible.

If you have any questions contact the Controller’s Office. Under no circumstances should College owned Equipment be removed from Campus until a Request to Use College Property Form is filled out.

Send to the Controller’s Office with a copy of the invoice/receipt/documentation of purchase(s), ASAP UPON RECIEPT OF MERCHANDISE. (All equipment purchases must be reported to the Controller’s Office).

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Capital Asset*

Capital Asset (item's cost is $5,000 or greater

Non-Capital Asset (items contains PII or cost is $3,000-$4,000.99)

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Purchased Equipment

Equipment Purchased on Federal Funds: If you are checking this box please stop, and see "Surplus of Restricted Equipment" form

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Asset Information

Asset tag number (please remove tag and attach):*

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Description (please be specific as possible): *

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Original cost:*

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Acquisition Date/Year:*

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Manufacturer:*

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Make/Model:*

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Serial Number:*

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Owning Department:

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Original Purchase Order Number (if known):

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Transaction Type

Transaction Type*

Surplus: sent to Tracy Madsen in Facilities or Information Technology surplus to be listed on state surplus site.

Trade‐In: Please indicate if equipment is being traded in as part of the purchase. Procurement will facilitate and authorize trade‐ins.

Stolen: College Police Department must be notified when equipment is stolen. Please attach copy of Police Report.

Transferred to another Institution: The transfer of equipment to another institution requires approval of the Controller's Office, in addition to approval of the Department chair. Please attach communications and contact information of the transfer institution.

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Estimated proceeds:*

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Purchase Order:*

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