Transfer Of Property Form

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Transfer of Property Form

WICHITA STATE UNIVERSITY

Form Distribution

Please Check One

4685194

No.

New Form

Print three (3) copies of this form after it is completed and signed.

Keep one copy and send two copies

Please transfer for us

08/02/2013

Date

We are transferring

to: Property Control, Office of Financial Operations & Business Technology, Campus Box 38

Condition Codes -

Department Use

Disposition Codes -

Warehouse Only

E-Cycle

In working condition

Not working - serviceable

Sell to FSP Participant

501(c)(3) Donation

Not working - nonserviceable

Sell to Junkyard (KSA 68-2203)

Obsolete - working

Obsolete - not working

Trans to Other State Agency

Lost or Stolen

Sell on Purple Wave Auction

Redistribute to another dept.

Haul to a landfill

Property Number

Original Cost

Condi- Data

DIS-

(serial number if no

Items to be Transferred

TRANSFER TO

(To be Completed by

tion Erased

TRANSFER FROM

POSI-

Bldg - Rm.#

Comments

property number)

Org. #

0NLY 1 ITEM PER LINE

Property Control)

Code

TION

Copy

Copy Copy

Copy

For Property Control Use Only

Signatures

PC Process Date: _____________________

Form Prepared By __________________________________________

Telephone Ext_____________

Campus Box ______________

PP Return

Date: _____________________

Department Supervisor Requesting Transfer __________________________________________________

Property Control___________________

FAUNAL/FAWOPD Date: __________________

Department Supervisor Receiving Transfer ________________________________________ Rec. Dept. Box #______

Physical Plant Warehouse Supervisor____________________________________

Off Campus Date: _____________________

(Transfers between departments other than the Warehouse)

COMPUTER DATA & PROGRAM REMOVAL CERTIFICATION

Before forwarding computers or other information technology resources to the WSU Physical Plant Warehouse for redistribution, sale, donation or salvage, all data and programs must be removed to comply with software

agreements and to prevent data theft.

This is to certify that the computer equipment checked above in the Data Erased? column has been cleaned and all data and applications have been removed in compliance with University policy (Section 19.10, WSU Policies

and Procedures Manual).

Department Head Approval ______________________________________________________

Authorized Computer Technician ________________________________________________