Fillable Facilities Equipment Transfer Form 17-401d (North Central State College)

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Facilities Equipment Transfer Form 17-401d (North Central State College)

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Facilities Department - 419-755-4855 ~ Property Use Policy 17-40 Last revision 3-15-12
Facilities Equipment Transfer Form 17-401d
This form is to be used when a piece of equipment is going to be permanently (beyond 1 Academic Year) moved
from its assigned location or permanently moved to another department. Equipment temporarily moved DOES NOT
need to be reported as long as it is returned to its original location.
Date of Transfer _____________________
Transfer From Department __________________________ Building ____________ Room___________
Transfer To Department __________________________ Building ____________ Room___________
NC State Tag # Serial # Description
Approval of Transfer
______________________________ ____________
Initiated Transfer by Date
_______________________________ ___________ ______________________________ ___________
Dean/Supervisor Approval Date Area Vice President Approval Date
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Facilities Equipment Transfer Form 17-401d (North Central State College)

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Completed 26 July 2020

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