Financial Operations: Fixed Assets
From: To:
Department: Department:
Activity/School Code: Activity/School Code:
Room #: Room #:
Phone:
Phone:
Date: Date:
Responsible Person: Responsible Person:
Signature: Signature:
NSU ID #: NSU ID #:
Revised 04/11/17
Transfer of Equipment Between
Department
PRINT NAME PRINT NAME
This section below must be completed by the department transferring the equipment. However, both departments must sign the form. The
receiving department must forward this form to the Fixed Assets Department.
NSU Tag Number
Description of item
Serial Number
Condition of Equipment
click to sign
signature
click to edit
click to sign
signature
click to edit