Surplus Transfer Request Form
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SURPLUS TRANSFER REQUEST FORM
DATE OF REQUEST:
REQUESTED MOVE DATE:
WORKORDER NUMBER:
Transferred From:
Transferred To:
Department:
GSU Surplus Operations
Contact Person:
934 Brady Avenue, Suite B
Building & Room:
Atlanta, GA 30318-5581
Phone:
Phone: 404 413-3170
Fax:
Fax: 404 413-3168
Email:
Email: propertycontrol@gsu.edu
List asset items separately identified by Asset ID# and Serial Number. Non-asset items may be grouped by type and do not
require Asset ID# and Serial Numbers. Condition: (1) Good - functionally operational, (2) Fair - limited repairs necessary (3)
Poor - major repairs necessary (4) Scrap
Line Quantity
Asset ID#
Serial Number
Description (
)
Condition
Item, Make, & Model
1
2
3
4
5
6
7
8
9
9
10
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Remarks:
SIGNATURE REQURED - PLEASE ALLOW UP TO TEN (10) BUSINESS DAYS FOR REMOVAL
RELEASING DEPARTMENT
CAMPUS MOVING CREW
RELEASED BY:
RECEIVED BY:
SIGNATURE:
SIGNATURE:
DATE:
DATE:
Releasing official's signature certifies the asset information if applicable is correct and all software and data has been removed prior to
being transferred to Surplus Operations. Fax completed form to Surplus Operations at 404 413-3168. Any questions concerning your work
order, please contact the Customer Communications Center at 404 413-0700.
SURPLUS OPERATIONS
AM RECORDS UPDATE
RECEIVED BY:
UPDATED BY:
SIGNATURE
SIGNATURE
DATE:
DATE:
Surplus Form 1 Rev. 03/25/2010
Surplus Form 1 Rev. 03/25/2010
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