WICHITA STATE UNIVERSITY
Transfer of Property Form
Form Distribution
Please Check One
No.
Print three (3) copies of this form after it is completed and signed. Keep one copy and send two copies
Please transfer for us
to: Property Control, Office of Financial Operations & Business Technology, Campus Box 38
We are transferring
Date
Condition Codes - Department Use
In working condition
1
Not working - serviceable
2
Not working - nonserviceable 3
Obsolete - working 4
5
6
Disposition Codes - Warehouse Only
E-Cycle E
Sell to FSP Participant F
501(c)(3) Donation G
Sell to Junkyard (KSA 68-2203)
J
Trans to Other State Agency K
Sell on Purple Wave Auction
P
Redistribute to another dept. R
Haul to a landfill T
Property Number
Original Cost
Condi-
Data
DIS-
(serial number if no Items to be Transferred
(To be Completed by
tion
Erased
TRANSFER FROM
POSI-
property number) 0NLY 1 ITEM PER LINE
Property Control)
Code
X
Org. #
Bldg -
Rm.#
Org. #
Bldg -
Rm.#
TION
01
02
03
04
05
06
07
08
09
10
11
12
Signatures
Form Prepared By __________________________________________ Telephone Ext_____________ Campus Box ______________
Department Supervisor Requesting Transfer __________________________________________________ Property Control___________________
Department Supervisor Receiving Transfer ________________________________________
Rec. Dept. Box #______ Physical Plant Warehouse Supervisor____________________________________
(Transfers between departments other than the Warehouse)
COMPUTER DATA & PROGRAM REMOVAL CERTIFICATION
Before forwarding computers or other information technology resources to the WSU Physical Plant Warehouse for redistribution, sale, donation or salvage, all data and programs must be removed to comply with software
agreements and to prevent data theft.
This is to certify that the computer equipment checked above in the Data Erased? column has been cleaned and all data and applications have been removed in compliance with University policy (Section 19.10, WSU Policies
and Procedures Manual).
Department Head Approval ______________________________________________________ Authorized Computer Technician ________________________________________________
Comments
Obsolete - not working
Lost or Stolen
13
14
15
For Property Control Use Only
PC Process Date: _____________________
PP Return Date: _____________________
4685194
New Form
08/02/2013
Copy
Copy
Copy
Copy
FAUNAL/FAWOPD Date: __________________
Off Campus Date: _____________________