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DEPARTMENT
SURPLUS FORM
FINANCIAL SERVICES USE ONLY
SR# ________________ DATE _______________
SUBMITTED_______________________________
Please fill out the fields below in their entirety to request the disposal of University property. When completed and signed by the Financial Manager, Dean, or
Department Chair, please forward this form to Financial Services Office in McMullen Hall Room 309.
Contact Person: __________________________________ Phone #: _______________ Date: _____________
Approval: _______________________________________ Title: __________________ Date: _____________
Fixed Asset
Tag#
Fixed Asset
Tag Color
(R=red, B=blue
)
Description of Asset (make, model,
manufacturer if available)
Serial Number
(Required if one is
available)
Current Location of
Asset (Bldg. & Room)
Reason for
Disposal (Broken,
Obsolete, etc.)