EAST TENNESSEE STATE UNIVERSITY
Equipment Inventory Change/Deletion Request
Current Custodial Department_______________________________________________________________________
Index Number __________________________
Date__
__________________
(Attach sheet for additional items)
____
_____________________________________
ACTION REQUESTED___________________________________________
Transfer to another Department
Receiving Department ___________________________________________________________________________
Index Number _________________________________
New Location Building Name __________________________________________________ Room No. __________
De
lete from Official Inventory Records because:
Trade-In (attach copy of Purchase Order)
Lo
st/Stolen (attach completed Missing Equipment Control Form)
Cannibalized
Su
rplus Needs to the department. Please arrange for pickup and disposal.
(Inventory personnel must sign below upon receipt of equipment)
Other (explain) __________________________________________________________________
_________________________________APPROVALS__________________________________
Current Custodial Department ________________________________ Date _______________
Receiving Department ______________________________________ Date _______________
Received by Inventory Department ____________________________ Date _______________
Return Fax Number ______________
