Asset Receipt Form printable pdf download

Asset Receipt Form

Attachment E

NEW ASSET RECEIPT FORM

INSTRUCTIONS: Please return this form to the Property Control Office (SERV

Building), upon receipt of a new asset. Multiple forms may be required if your order is

not shipped all at once. If you have any questions, please call the Property Control Office

at 420-2016.

Please select on option and complete the appropriate information:

Purchase Order issued by the Purchasing Office. Purchase Order Number ________

P-Card Charge made through the Purchasing Office. P-Cardholder Name ____________

P-Card Charge made within the department. P-Cardholder Name_______________

On-Line Order. Vendor Name______________ Order Date _______Order #______

For P-Card and on-line orders, please send a copy of any invoice, packaging slip or other paperwork in support of the purchase with

this form.

Asset Description

Manufacturer

Serial #

Model

Cost

BLDG

Room #

If the item(s) received are components to an existing asset, please provide the

barcode tag number/property tag color, serial number and/or purchase order

number of the asset.

Barcode tag number: ____________________

Purchase order number of existing asset: ____________________

Serial number of existing asset: ____________________

State Inventory Account #: ____________________

Contact Person: ____________________

Phone: ____________________

Asset Acquisition Date: ____________________

End-User/Contact person – email address: ____________________

Asset Receipt Form