Fillable Property Disposition Request 2019 (University of Wyoming)

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Property Disposition Request 2019 (University of Wyoming)

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PDR
UW Tag # Manufacturer
Model Item Description (required)
Building
Name
Room # /
Location
Operational
(Y/N)
Requested
Disposal Price
Determined
Market Value
Item
Destination
SECTION 2
Yes
No
Organization/Dept. Name:
Organization Number:
Contact Person:
Contact Phone:
Are All Items Available for Pickup Immediately?
Date Available for Pickup:
SECTION 1
Type of Disposition
Surplus Property
Transfer to_______________________________________
Other (Provide Reason)
Addit
ional Detail:
SECTION 5
I authorize the items listed to be released to Surplus Property for sale, transfer, or disposal in accordance with
existing policies.
Authorized signature must be from a Dean, Director, or Department Head.
Pr
int Name Authorized Signature Date
Asset Management / Surplus Property Use Only
Date Received: By:
Date Processed: By:
AM Updated: By:
Sponsored Programs Approval: By:
PDR to Material Services: By:
PDR to RMMC / Asset Mgt. By:
Notes:
Surplus Property
Property Disposition Request Form
Instructions: Please fi
ll out each section of this form completely. If you have questions about this form or the process, contact Material Services at 307-766-2409 or Asset Management at 307-766-2302
SECTION 3
The department certifies that all items listed below are clean of
chemical, biological and radioactive material.
Surplu
s Property will sanitize h ard drives to NIST.SP.800-88r1
specifications or destroyed based on condition.
I understand t
hat Surplus Property will review requested
disposal price. If requested disposal price is left blank, Surplus
Property will determine market value/selling price. If it is
determined it does not reflect the market they will work with
department to establish the basis for the sale price.
Grey areas are to be filled out by Surplus Property/Asset Management personnel only
Send This Form via UW Campus Mail, scanned into an email (property@uwyo.edu), or fax (307-766-6762) to UW
Asset Management Office for approval. Pickup will be scheduled only after PDR approval.
New Org/Dept Name and 5-digit Org Number
Updated May 2019
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Property Disposition Request 2019 (University of Wyoming)

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Completed 22 July 2020

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