Revised 8.7.17 Altered Transfer/Disposal Forms will not be accepted
MARICOPA COUNTY COMMUNITY COLLEGE DISTRICT
Transfer/Disposal Form
REPORT OF EQUIPMENT TRANSFER AND/OR DISPOSAL FORM
(INCLUDING EXTERNAL DONATION TO A PUBLIC SCHOOL OR SCHOOL DISTRICT)
To: Capital Asset Accounting, District Office
From Campus: Department: Date:
Name of Equipment
New Tag
Number
Old Tag
Number
Serial Number
------------From------------
------------To----------------
Campus
Bldg. #
Room #
Campus
Bldg. #
Room #
*NOTE: The receiving Public School or School District certifies that this equipment is being used for educational purposes only.
By signing this inventory Transfer/Disposal Form, the educational institution agrees that they will not dispose of, or transfer this equipment for the period of one year.
Equipment Released By:
(Signature)
Equipment Accepted By:
(Signature)
Printed Name: Date:
Printed Name: Date:
Please &KHFN One: Location Re-tag Surplus Replacement Destroyed- Destroyed- Stolen External
Transfer
Trashed Scrapped Donation*