Fillable Off- Site Use Of SMC Property Request Form

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Off- Site Use Of SMC Property Request Form

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Stockbridge-Munsee Community
PM - FORM 5 Off-Site Use of Property Request Form
Requests for off-site use of SMC property are to be made by completing this form. This form is to be submitted when requesting to use SMC
property off-site; i.e. laptop, tablet, camera, etc.. This form must be filled out PRIOR to the item being used off-site; you will be notified when
off-sire use is approved.
Property Management
Off-Site Use of SMC Property
This form is to be used when a staff member is using SMC property off-site. This includes
Capital Property, Sensitive Property and Non-Sensitive Property that is used off-site for
work purposes. SMC property is not to be used off-site for personal use.
N8705 Moh He Con Nuck Road ● Bowler ● Wisconsin ● 54416 ● (715) 793-4886 ● Fax (715) 793-4889
Off-Site Use of SMC Property Request Form
(To be filled out by the Property Custodian when requesting the use of SMC property off-site)
Date: __________________________
Department: ________________________________________________
Tag Number: ______________________
Description of Property: ____________________________________________________________________________
Address where property will be kept off-site: ___________________________________________________________
Reason Requesting Off-Site Use:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
By completing this form I understand that I cannot take this item off-site until written approval from the CFO. I
further understand that any damage caused to SMC property while I am using it off-site will be at my own cost for
repair or replacement.
Staff Member Using Property Off-Site Signature: _______________________________________________________
Property Custodian’s Signature: _____________________________________________________________________
Department Head Signature: ________________________________________________________________________
Property Management Check list
(To be filled out by PM)
Date paperwork received: _________________________________
Date of Disposition or Modification: Approved ______________ Denied ________________
Property Management Initials: ___________
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Off- Site Use Of SMC Property Request Form

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Completed 27 January 2021

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