When university property (inventoried or not) is no longer needed by a department, this form is completed and submitted to the Surplus Office.  This form can be completed on-line and sent to the Surplus Office via the web or email, or can be printed and then faxed or mailed.  The Surplus Office will schedule a pick-up once the form is received. 

Screen 1:

Complete all fields:

• Department Name (please spell out – no acronyms);
• Contact Person;
• Phone number;
• Call before pick-up?  Y/N;
• Email address of department contact.

Screen 2:

• Inventory number of item or “none”;
• Item Description including generic noun and other identifying information;
• Does it Work?  Y/N;
• Location (Bldg/Room#).

A copy of the completed form should be printed and retained by the department.

Note:   This form cannot be used for donations because an original signature from a Department Head, Dean or Director is required.