Surplus/transfer Request Form
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1City of Hammond Purchasing Department
Surplus/Transfer Request Form
[Use a Separate Form for Different Dispositions]
I.
Department Name:
Date:
Approved By:
Fax:
Ext.:
Requested Disposition:
[__] Surplus item(s) to City of Hammond Property Control
[__] Department wishes to keep item(s) & dismantle for parts to repair like
equipment.
[__] Transfer tagged property
to______________________Dept*
New Location:_____________________________________
NOTE:
*IF PROPERTY HAS BEEN MOVED-COMPLETION OF SECTION III
IS REQUIRED.
DESCRIPTION OF
PROPERTY #
PROPERTY
LOCATION
CONDITION
II.
THIS SECTION TO BE COPMPLETED BY PROPERTY CONTROL STAFF
Form Received By Property Control
Date:
[__] To be transported by Physical Plant to PC Surplus
[__] To be transferred to another dept as indicated
[__] None/Property delivered with form by department
[__] Authorization for dept to cannibalize for parts
Authorized By Property Control:
Date:
III. ATTENTION:
DO NOT SIGN UNTIL ITEMS ARE PICKED UP OR TRANSFERRED
Released By:
Dept Name:
Date:
Received By;
Dept Name:
Date:
Completed By:
Dept Name:
Date:
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Parent category: Business