CHANGE IN ACCOUNTABILITY FORM
(Note: A separate form is to be completed for each equipment item.)
Date Submitted: ______________ Federal/externally funded equipment: YES NO
TTU Property Tag No.: __________________ Serial Number: ________________________________
Description of Equipment (including brand and model):___________________________________________________________
TOP SECTION MUST BE COMPLETED IN FULL
Reason for Change:
Change of Location Return to Grantor
Existing Location (Bldg./Room #): _______
New Location (Bldg./Room #):__________ Request to Surplus
Check if already sent to Surplus
Trade In
Purchase Order Number for New Equipment: _________ Missing
An officer's report from University Police is required for
Transfer to Another Administrative Unit
missing or
stolen items.
New Department: ________________
New Index/Org: _________________ Other Please specify: ____________________________
New Location: ___________________
Approvals:
Department Head: ___________________________________ Date: ___________________
If transferring to another administrative unit, the department accepting the transferred equipment must sign below.
Dean/Administrative Officer: ____________________________ Date: ___________________
For Business Services Use Only
Property Officer: _____________________________________ Date: ___________________
Grant Accounting Manager*: ___________________________ Date: ___________________
*Only required if federal/externally funded
Disposal Method of Surplus: ____________________________
Clear Form
Print Form
Complete form online. Print, sign, and send to Property Office, Box 5041.