Form 10a120 - Inventory Transfer Form - Kentucky Finance And Administration Cabinet printable pdf download

Form 10a120 - Inventory Transfer Form - Kentucky Finance And Administration Cabinet

10A120 (4-08)

FINANCE AND ADMINISTRATION CABINET

INVENTORY TRANSFER FORM

Inventory Item to Transfer

Item Description

Date

Manufacturer or Brand Name

Serial Number

Revenue Tag Number

Transferred To

New Custodian Printed Name *

Signature of New Custodian

(Employee, branch, area or project)

(When possible)

*Failure to list new custodian will result in old custodian being listed in system.

Division Printed Name

Branch/Field Office Printed Name

Building Printed Name

Authorized By

Please fill out form as completely as possible to ensure accuracy of transfer.

A transfer form is required when an inventory item is being transferred from a branch, field office, director’s

office, or commissioner’s office.

Submit completed form to Finance and Administration Cabinet, Division of Administrative and Support Services,

Support Services Branch, 501 High Street, Station 35, Attention: Property Officer, Frankfort, KY, 40601, or call

(502) 564-3658, fax (502) 564-3496.

Use Surplus Form, 10A121, for disposal of inventory items.

For Support Services Branch Use Only

MARS FC Document Number

Date

Processed By

Form 10a120 - Inventory Transfer Form - Kentucky Finance And Administration Cabinet