PROPERTY CONTROL
TEMPORARY REMOVAL OF PROPERTY REQUEST
University property may be temporarily removed from University premises when it is determined by the
fiscal agent and dean or director that such removal will advance the University programs or activities of that
unit.
Equipment Description Model Number Serial Number EIU Tag Number
____________________ _____________ ____________ _______________
Equipment Location on Campus:
Building _______________________ Room Number ______________Dept. _________
Temporary Removal Duration (time and date):
______________________________________________________________________________________
Individual to be in Possession of Equipment:
______________________________________________________________________________________
Location of Equipment when Removed from Campus:
______________________________________________________________________________________
Person Removing Property:
I certify that the property will be used exclusively for university-related business or activities, and agree to
assume responsibility for the equipment during the time the property is removed. I understand that I shall be
liable for any losses, damage or destruction, or impairment of function or useful life of the property that may
result due to negligence or carelessness.
__________________________________________ _______________________________________
Printed or Typed Name Signature
_______________________________________
Approvals: Date
__________________________________________ _______________________________________
Fiscal Agent Dean or Director
Date______________________________________ Date___________________________________
If removal is longer than one month:
__________________________________________
Vice President for Business Affairs
Date______________________________________
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Property returned (time, date):_______________________________________________________________
Acknowledgement of return
__________________________________________ _______________________________________
Fiscal Agent Dean or Director
Date_______________________________________ Date___________________________________
