Fillable Interdepartmental Device Transfer Form (Motlow State Community College)

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Interdepartmental Device Transfer Form (Motlow State Community College)

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TECHNICAL OPERATIONS HELP DESK
Dept. 410 | PO Box 8500 | Lynchburg, TN 37352
PH: (931) 393-1510 option 1 | FAX: (931) 393-1965
Interdepartmental Device Transfer Form
Equipment Information:
Item Description:
Serial Number Model Manufacturer
Item Description:
Serial Number Model Manufacturer
Item Description:
Serial Number Model Manufacturer
Transferring (Donor) Department Receiving Department
The above listed equipment is being transferred by:
The above listed equipment is being received by:
Department: _______________________________________
Liaison: ____________________________________________
Old Equipment Location:
Building: _____________________ Room: _____________
Signature (Department/Office Head)
Department: _______________________________________
Liaison: ____________________________________________
New Equipment Location:
Building: _____________________ Room: _____________
Signature (Department/Office Head)
For Technical Operations Use ONLY
Date Received: _____________________ Date Entered: ____________________ Entered By: _____________________
Device Transfer From | May 2018 HT:ma| Motlow State Community College Technical Help Desk
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Interdepartmental Device Transfer Form (Motlow State Community College)

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Completed 27 July 2020

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