Binghamton University - Property Control: Transfer/Disposal of Equipment (FORM A)

property control

Transfer/Disposal of Equipment (FORM A)

Use this form to report the transfer or request for disposal of eligible equipment under following situations. If more than one piece of equipment is being reported, please attach a separate sheet. If this action involves Research Foundation equipment, please forward original form through the Sponsored Funds office to the Property Control Officer.

INDICATE REASON FOR TRANSFER:

I am interested in receiving information on:
Within Department, relocated to different building (Fill out sections 1, 2, 3, 4 and 11 only)
Outside Department (Fill out sections 1, 2, 3, 5 and 11 only)
Off campus for Repair / Class Project (Fill out sections 1, 2, 3, 6 and 11 only)
On Loan (Off campus) (Fill out sections 1, 2, 3, 7 and 11 only)
Permanent Disposal (Fill out sections 1, 2, 3, 8 and 11 only)
Lost or Stolen (Fill out sections 1, 2, 3, 9 and 11 only)
Trade-In (Fill out sections 1, 2, 3, 10 and 11 only)

1. Originating Department: Date:

2. Equipment Decal# and Description:

3. SUNY/RF/BUFNumber: Equipment Description:

4. Transfer Within Department, Relocated to Different Building:
Location Moved From- Building and room number: To- Building and room number:

5. Transfer Outside Department:
Location Moved From- Building and room number: To- Building and room number:

6. Off-campus for Repair/Class Project:
Location Moved From- Building and room number: To- Building and room number:

7. On Loan: (Off campus)
    Location Moved From- Building and room number:      To- Building and room number:
    Loaned To:
    Purpose of Loan:          To Be Returned On:
    Date Returned:          Condition of Equipment upon return:

8. Permanent Obsolete/Disposal:
Location Moved From- Building and room number: To- Building and room number:
Reason for Request To Consider Obsolete or To Dispose:

9. Lost/Stolen:
Last Known Location- Building and room number: Date Noticed Lost/Stolen:

10. Trade-In:
Location of Equipment- Building and room number: PO# of New Equipment:
Name/Description of New Equipment:

11. Departmental Approvals:
    Chair or Department Director:
    Chair or Department Director's email id:
    (Required for any submission)
    Dept. Property Control Custodian:
    RF Project Director:

THIS AREA IS FOR PROPERTY CONTROL OFFICE ONLY
    SUCF System Input Date:          Status Code:          Storage Area:
    Permanent Disposition:          Receipt #:          Date:
    Property Control Officer:
    VP, Administration(or Designee):
    (Required for all Disposals and Lost / Stolen equipment only)