Fillable RIALTO UNIFIED SCHOOL DISTRICT EQUIPMENT TRANSFER FORM

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RIALTO UNIFIED SCHOOL DISTRICT EQUIPMENT TRANSFER FORM

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RIALTO UNIFIED SCHOOL DISTRICT
EQUIPMENT TRANSFER FORM
Transfer From: __________________________________________________ Transfer To: _____________________________________________
(Site / Dept.) (Site / Dept.)
Site Administrator: _______________________________________________ Administrator __________________________ Date: _____________
(Print name) (Signature)
Please check one: Transfer only Remove from Inventory Liquidation / Surplus
Prepared By: ___________________________________ Phone#___________________________ Email_______________________________
Instructions: 1. Type out the form include all serial numbers and District tag numbers. Hand written forms will not be accepted.
2. For any computer or IT related items, you will need IT personnel to sign the form prior to submitting.
3. Mail
or Scan this form to Mike Ricker at mricker@rialto.k12.ca.us
ITEM DESCRIPTION
MAKE
MODEL
SERIAL NUMBER
RUSD TAG
NUMBER
Removal Justification:
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_ Signatures required at time of pick up / delivery
Picked up by: ________________________________________________________________________________ Date: __________________
Received By: ________________________________________________________________________________ Date: __________________
I.T. Approval: Yes I.T. Signature: ______________________________________________ Date:___________________ Not Applicable
Fixed Asset(s) Status Updated By: ______________________________________________________________________ Date: ________________
B-44 ETF Revised 9/23/19
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RIALTO UNIFIED SCHOOL DISTRICT EQUIPMENT TRANSFER FORM

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Completed 24 May 2021

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