Form 7251f - Declaration Of Surplus

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Shoreline School District
DECLARATION OF SURPLUS – FORM 7251F
THIS FORM IS NOT TO BE USED FOR ITEMS VALUED OVER $5000.00
Dept./Bldg Name: ________________________________ Date: ___________________
Location of Surplus: _______________________________________________________
Any computer tape, disc, hard drive, floppy, CD or other storage medium used to store district
data must be totally erased or rendered unreadable before it is disposed of. Staff should
contact the IT Department for assistance if necessary.
Has all sensitive district data been totally erased? Yes
No
Not Applicable
If you are disposing of multiple items in the same category (e.g., 20 computers), complete this page then list
the individual items with serial numbers and tag numbers on an attached sheet. Non-equipment items such
as chairs, tables, desks, etc. may be grouped as one lot. To ensure the correct equipment is removed from
.
your department, the inventory tag number must be supplied
To be completed by owning department
Qty
Description/Model
Inv. Tag #
Serial Number
Condition
Authorized Owning Department/Building Administrator:
Name:______________________________________
Date:
Signature:
Received by:
Date:
Specific location stored until the approved
sequence of disposal is completed:

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