Fillable Printable Surplus Property Pick-Up Evaluation Form
Fillable Printable Surplus Property Pick-Up Evaluation Form
Surplus Property Pick-Up Evaluation Form
SURPLUS PROPERTY PICK-UP
EVALUATION FORM
Description QTY
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
If submitting multiple sheets,
please enter Page # of Pages below:
Page
of
