Fillable Property Transfer Authorization Form printable pdf download

Property Transfer Authorization Form

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FERMILAB PROPERTY TRANSFER AUTHORIZATION

Property assigned to FermiLab employees is U.S. Government property. It is the responsibility of the employee to whom it is assigned (custodian) to account for

its use and location. Certain property items are assigned to specific individuals. If property assigned to you is transferred to another laboratory employee, the

transfer must be recorded using this form. Failure to utilize this process will result in equipment remaining in your name.

PLEASE NOTE:

A separate form must be used for EACH PERSON to whom items are being transferred. The new custodian must be a Fermilab

employee (not a User), and all information requested must be provided to allow the transaction to be completed.

TRANSFERRED FROM:

TRANSFERRED TO:

Name: ________________________________ ID#: _____________

MS #: ______________ Email: ______________________________

Ext: ________________ Fax: _______________________________

By my signature, I authorize transfer of U.S. Government property described below and

By my signature, I acknowledge my responsibility to be accountable for the U.S.

state that to the best of my knowledge, all special restrictions or controls placed on