Fillable Printable Surplus Property Pick-Up Evaluation Form

Surplus Property Pick-Up Evaluation Form

SURPLUS PROPERTY PICK-UP

EVALUATION FORM

DescriptionQTY

Processed

Date

Item is part of

Grant/Contract

Y/N

Disposal

approved

by RSPA

Y/N

CWP

Y/N

Asset

Tag

Number

Condition

Code

Serial

Number

Estimated

Value

Surplus

Tracking

Number

Office Use Only

Campus Phone:

FOAPAL Number:

Department:

Requested by:

Special Instructions:

Pick-up Location : Room

Pick-up Location: Building

Date Submitted:

ND SURPLUS Use Only:

Date Form Received in Surplus:

Received By:

Picked up by and Date:

Condition Codes

S=Sellable IO=Inoperable

O=Operates J=Junk

R=Recyclable

OR=Operates but Needs Repair

Office of Business Operations

Phone 574-631-8971

[email protected]

If submitting multiple sheets,

please enter Page # of Pages below:

Page