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FIXED ASSET LOCATION TRANSFER FORM
Please fill out the fields below to request change of location for a fixed asset.
Initial Department: When completed and signed by the Financial Manager, Dean, Director or Department Chair of the initial department, please forward
this form to the receiving department.
Receiving Department: After the Financial manager, Dean, Director or Department Chair signs this form acknowledging receipt and accepting
responsibility for the property, please forward it on the Financial Services.
TRANSFER INFORMATION:
Asset Tag #: __________________________________
Make: __________________________________
Model: __________________________________
Manufacturer:__________________________________
Serial Number:__________________________________
SIGNATURES:
Initial Department:
Name (Please type or print): ___________________________
Signature: _______________________
Receiving Department:
Name (Please type or print): ___________________________
Signature: _______________________
Description (be specific): _______________________________________________
Transfer from Location (Building & Room): __________________________
Transfer to Location (Building & Room): __________________________________
Date of Transfer: ________________________________________
Title: ______________________________
Date: ______________________________
Title: ______________________________
Date: ______________________________
FOR FINANCIAL SERVICES
USE ONLY:
Date Received: _____________
Date Entered in Banner:
Initials: ___________________
COMMENTS:
FORM 2016
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