CONTROLLED PROPERTY
DISPOSITION FORM
From Department:
Contact Person:
Contact Person:To Department:
Asset Tag# Serial # Asset/Property/Description From Bldg/Rm # To Bldg/Rm #
A. TRANSFER
Asset
Tag #
Serial #
Replacement
Cost
Condition Code Asset/Property/Description Disposition Code
Contact Person:Department:
Witness
I hereby certify that the property listed
has been transferred, returned, or
disposed of according to state
requirements.
Date:
SIGN AFTER APRROVAL BY THE FKCC BOT (SECTION B)
SIGN WHEN FORM IS SUBMITTED (SECTION A & C )
B. DISPOSAL
Department:
C. RETURNED
Contact Person:
Signature
Date:
Asset Tag # Serial # Asset/Property/Description RMA #
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signature
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signature
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