EQUIPMENT DISPOSITION REQUEST
TAG
NUMBER
DESCRIPTION BLDG/ROOM CONDITION OF ITEM
Recommended Disposal: (check one)
_________Functional surplus
_________Scrap
_________Trade-in
_________Dismantle for Parts
_________Stolen (Police report required)
__________________________________________________________________
Signature of Releasing Department Head Date
__________________________________________________________________
Contact Person/Phone
__________________________________________________________________
Reason for Deletion
4/2002-Property