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PROPERTY REMOVAL REQUEST
Home
Administrative Services
Please don't fill out this input box.
Name:
Phone:
Email:
Department:
Index:
Fund:
Organization:
Account:
Program:
Have items been picked up? * This field is required.
*
Yes
No
Do you need FAMA assistance? * This field is required.
*
Yes
No
Serial Number (equipment only)
Property Information
Tag Number:
Description:
Quantity:
Condition
Please Select
Excellent
Good
Fair
Poor
Serial Number (equipment only):
Location:
Property Information
Tag Number:
Description:
Quantity:
Condition:
Please Select
Excellent
Good
Fair
Poor
Serial Number (equipment only):
Location:
Property Information
Tag Number:
Description:
Quantity:
Condition:
Please Select
Excellent
Good
Fair
Poor
Serial Number (equipment only):
Location:
Property Information
Tag Number:
Description:
Quantity:
Condition:
Please Select
Excellent
Good
Fair
Poor
Serial Number (equipment only)
Location:
Property Information
Tag Number:
Description
Quantity:
Condition:
Please Select
Excellent
Good
Fair
Poor
Location:
Submitting this form indicates you and your department’s willingness to use department funds to pay
for removal of these items. The Physical Plant will charge the account(s) you listed.
Form UUID
Site Name
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