________________________________________________________________________________________________
REQUEST FOR TRANSFER OF EQUIPMENT
This form is to be used when requesting any piece of equipment or sensitive minor item to be moved from one location to another.
______ Permanent Transfer/Relocation _____ Temporary Transfer
Date Requested Date Needed
(Is there a specific date the items need to be moved?)
Requesting Official Department
Phone Number
Alternate POC
(Please make sure to notify the Alternate POC of this request)
Request for items listed below to be transferred/moved as follows:
Tag No. Description
From
Bldg./Room
To
Bldg./Room
Name of New
Equipment Custodian
If physical movement of items is necessary, this form is required, and a completed and signed copy
of this form MUST be sent to the IA Facilities Management office. All signatures MUST be
completed before submission of the request, or the request will be rejected and returned.
FROM
Requesting Office
A P P R O V A L S
TO
Receiving Office
Office Director Office Director
___________________________________ DO NOT WRITE BELOW THIS LINE _______________________________
FOR BUSINESS OFFICE Moved Completed: ____________________ __________________
USE ONLY Initials Date
Version:1.1 - Revised: 7/2020 - Email Questions to: ia_logistics_services@bia.gov
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