_______________________________________________________
____________________________________________________________________________
Finance & Administrative Services
Property Management
REQUEST FOR OFF-CAMPUS/HOME STORAGE
OF EQUIPMENT (PER BOP 4-2)
PLEASE PRINT OR TYPE INFORMATION-All Information Is Required
Department: _______________________________ Account Number: _______________
Date: ___________________________ Purpose: ________________________________
Item Description LSU Inventory # & Serial #
1. _______________________ ___________________________________
2. _______________________ ___________________________________
3. _______________________ ___________________________________
Name of Person with Custody: _______________________________________________
Signature of Person with Custody: ____________________________________________
Position (Faculty, Staff or Student):____________________________________________
Residential Address: _______________________________________________________
City: _____________________ State or Country: _____________ Zip Code: __________
Electronic Mail Address: ____________________________________________________
Home or Cell Telephone Number: (______) _____________________________________
Removal Date: (MONTH/DATE/YEAR) _________________________________________
Return Date: (MONTH/DATE/YEAR) ___________________________________________
Approval Signatures:
Dept. Property Custodian __________________________________ Date_____________
Department Head /Chair ___________________________________ Date_____________
LSU Property Manager (or designee)__________________________ Date_____________
Comments: _Please notify Prop. Mgmt when the equipment is returned by completing an EIAR
form-Thank You_______________________________________________________________
3555 River Rd.-River Road Annex • Baton Rouge, LA • 70803 • P 225-578-6921 • Email: property@lsu.edu
http://www.fas.lsu.edu/purchasing/propmgmt.htm
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