Facilities Department - 419-755-4855 ~ Property Use Policy 17-40 Last revision 3-15-12
Facilities Equipment Disposal Form 17-401e
This form is to be used when disposing of a piece of equipment currently on the college equipment inventory.
Date of Disposal _____________________
Check one:
Sold Traded In Stolen Junked Lost Donated to: ________________________
NC State Tag # Serial # Description
Approval of Disposal
_______________________________ ___________ ______________________________ ___________
Initiated Disposal by Date Dean/Supervisor Approval Date
_______________________________ ___________ ______________________________ ___________
Area Vice President Approval Date
Vice President of Business & Finance Date
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