Declaration Of Surplus Form

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Tukwila School District
DECLARATION OF SURPLUS
THIS FORM IS NOT TO BE USED FOR ITEMS
VALUED OVER $5000 or FOR COMPUTER EQUIPMENT
Dept./Bldg Name:
Date:
Location of Surplus:
If you are disposing of multiple items in the same category (e.g., 4 adult plastic chairs), please enter only
one line of data unless their condition varies, in which case use additional lines. To speed up disposition of
items, please add dimensions to items such as bookcases, tables, chairs and other items where item size
can vary.
To be completed by owning department
Qty
Description/Model
Serial Number
Condition
Reason for surplus
Select one
Select One
Select one
Select One
Select one
Select One
Select one
Select One
Select one
Select One
Select one
Select One
Select one
Select One
Select one
Select One
Authorized Owning Department/Building Administrator:
Print Name:
Date:
Signature:________________________________
For Business Office Use Only
Business Services Signature:
Date:
Move to District Storage
Salvage Metal
Recommended Action
Store in Building
Place in building dumpster
Auction / Craig’s List
Other
Updated: 10/10/2012

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