Fill in only for "Transfers"
Removal
Code*
Qty Descrip. Manufac. Model
Serial
Number
Current
Local.
Bldg**
Current
Local. Room
Condition
Code***
Reason for Disposition
or Transfer
Orig. Value Current Value
Destin. of Trans.
Asset Bldg**
Destin. of
Trans. Asset
Room**
Contact information on disposals/transfers:
Name: Phone: E-mail:
Deaprtm
Cost Cen: Date:
Name: Phone: E-mail:
Deaprtm
Cost Cen: Date:
(Disposal/Transfer Department)
Signed: Signed:
Department Head Date Fixed Assets Manager Date
Type Name:
Receiving Department
Signed:
Department Head Date
Type Name:
Code Reference:
R1. Lost R4. Surplus Operative R7. Return to Title Holder
C1. New
C4. Used-Poor C7. Salvage
R2. Stolen R5. Salvage R8. Sold C2. Used-Good
C5. Repairs requ
C8. Scrap
R3. Damaged R6. Trade-In R9. Transfer C3. Used-Fair
C6. Repairs requ
C9. Relieve but keep for parts
B5. CL - Clauduis B9. GB - Gabrielle Dorm B13. JJ - J.L. Johnson Stadium B17. MP - Motor Pool B21. PT - Prayer Tower
B2. BM - Baby Mabee B6. CP - Compound
B10. GC - Graduate Center
B14. LRC - Learning Resource Cent
B18. MA - Maintenance B22. PT - Timko-Barton
B7. CR - Cardone B11. HA - Hamill Student Center B15. LU - Luehring B19. PB - Personnel Building B23. VI - Vinson
B4. CC - Christ's Chapel B8. EL - Ellis Melvin Roberts B12. HO - Howard Auditorium B16. MB - Mabee B20. PL - Plant
Asset Tag
Number
Fixed Asset Tracking Form
Contact information of receiver of transferred assets:
"I relinquish inventory accountability for the above described equipment."
Releasing Department Certification
*** Building Codes
* Removal Code
** Condition Codes
Please Note: This form must be approved by Property Accounting Manager if equipment is removed from inventory.