Request for Surplus Property
Facilities Management (OFM)
Technical Support Services (OIT)
To ________________________________________________ Department ________________________________________
Phone ____________________________________________ Date _______________________________________________
Received by _____________________________________________________ NSU ID# _________________________ Date _____________________
Approved by _____________________________________________________ NSU ID# _________________________ Date _____________________
OFM OIT-TSS
06-150-05ESJ
Description of item needed Specifications Building and room number Comments
All equipment will be delivered in “as is” condition. This section is to be completed by the department requesting repurposed
computer components/equipment or furniture/equipment. Please sign below to verify the request of such equipment and fax to
Fixed Assets (954) 262-3921. For further information, contact OFM at (954) 262-
8940, OIT-TSS at (954) 262-4900, or Fixed
Assets at (954) 262-5248.
Revised: 12/12/06
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