Valencia College
Property Control Form
Requestor: _____________________________ Mail Code: ____________ Ext:_________
Asset ID: _____________________________ Serial Number: ______________________
Description: ____________________________________________________________________
Initial Cost $ _____________________________ Date Purchased: _____________________
From Location: Campus______ Building______ Room______ Custodian__________________
Action Requested: Check only one.
1) Relocate equipment to: If the equipment is already relocated, check this box
Campus______ Building______ Room______ Custodian ______________________________
When relocating equipment with a new custodian, forward this document to the recipient for approval, even if already moved.
2) Personal Property on Campus Request (Custodian accepts all responsibility)
3) College Property off Campus Request (Custodian accepts all responsibility)
Checkout Date: __________ Time: __________ Return Date: __________ Time: __________
4) Delete from Property Records for one of the following reasons:
___Outdated
___Missing* ___Stolen* ___Trade-In** ___Disposable*** Reason ___Economically Unrepairable
___Other_________________
* Missing or stolen equipment requires a Security/Police report.
** Equipment to be traded in must be approved by the Board in advance and trade-in documentation needs to be attached.
*** Include the reason for being disposed.
Requestor Signature: ___________________________________ Dated: ________________
Supervisor Signature: ___________________________________ Dated: ________________
Recipient Signature: ___________________________________ Dated: ________________
(Relocated Property Only)
Property Management Office: _____________________________ Dated: ________________
Financial Services: ___________________________________ Dated: ________________
Board Approval Date: ________________
Note: Send this completed form to Property Management at propertymanagement@valenciacollege.edu or inter-office mail.
Form PCF Revised October 2019
