________________________________________________________________________________________________
REQUEST FOR TRANSFER OF EQUIPMENT
This form is to be used when any piece of equipment or sensitive minor item with an Indian Affairs / DOI Inventory Tag is
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?)
Person Making Request Department
Central POC Name POC Phone Number
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 copy MUST be sent to the IA
Facilities Management office.
A P P R O V A L S
FROM
TO
Transferor Transferee
Department Head Department Head
Alternate/Backup Transferor Alternate/Backup Transferee
___________________________________ DO NOT WRITE BELOW THIS LINE _______________________________
FOR BUSINESS OFFICE Moved Completed
:
____________________ __________________
USE ONLY Initials Date
Version:1.0 - Revised: 1/2020 - Email Questions to: ia_logistics_services@bia.gov
