Fillable Property Survey Request Form Pdf (California State University Channel Islands)

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Property Survey Request Form Pdf (California State University Channel Islands)

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Survey #:
PROPERTY SURVEY REQUEST FORM
DATE ____________ REQUESTING DEPARTMENT _________________________________
ITEM
No.
DESCRIPTION OF ITEM
(Make and Model)
ASSET
TAG #
(if applies)
SERIAL NUMBER
(S/N)
CONDITION *
COMMENT
1.
2.
3.
4.
5.
6.
7.
CONDITION * GOOD FAIR POOR UNKNOWN
ITEM(S) LOCATED IN BUILDING: ______________________________________________ ROOM #:____________
DEPARTMENT CONTACT: _________________________________________________ PHONE # EXT._____________
____________________________________________ __________________________________ ________________
AUTHORIZED ADMINISTRATOR - PRINT NAME SIGNATURE DATE
Instruction:
1. Please complete and submit this form to the Campus Property Coordinator and make arrangements through the Facilities
Work Center to have the item(s) moved to the warehouse.
2. Prior to computers, laptops, tablets, etc. being surveyed, please open an IT Help Desk ticket and request to have the hard
drive erased or removed.
PROPERTY USE ONLY
DISPOSITION: 1. TRADE-IN 2. SALE 3. TRANSFER 4. DONATE 5. LOST/MISSING 6. RECYCLE 7. TRASH
_________________________________ ______________
PROPERTY COORDINATOR DATE
_________________________________ ______________
PROCUREMENT ADMINISTRATOR DATE
PROPERTY SURVEY REQUEST FORM
click to sign
signature
click to edit
Survey #:
(Supplemental Form)
ITEM
No.
DESCRIPTION OF ITEM
(Make and Model)
ASSET
TAG#
(if applies)
SERIAL NUMBER
(S/N)
CONDITION *
COMMENT
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CONDITION * GOOD FAIR POOR UNKNOWN
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Property Survey Request Form Pdf (California State University Channel Islands)

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Completed 18 July 2020

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