Revised January 2013
Southwest Virginia Community College, PO Box SVCC, Richlands, VA 24641
Phone: 276/964-2555 - Fax: 276/964-9307
APPROVAL
Requestor Date
Supervisor Date
VP of Financial & Administrative Services Date
DISTRIBUTION
VPFA Office (Original)
Physical Plant
Supervisor
Transferred “To” Department
DATE:
SWCC Inventory Tag Number:
REASON FOR TRANSFER
No longer has use in this area
Other:
Serial Number:
Item Description:
The above mentioned item is being transferred within the agency for the reasons stated above. The signatures
below indicate that the item is being moved by mutual consent. The College’s fixed assets inventory record
information will be updated to reflect the change of location for this item.
FROM:
TO:
Department:
Department:
Building:
Building:
Room Number:
Room Number:
Department/Division Head:
Department/Division Head:
SWCC INVENTORY TRANSFER FORM