EQUIPMENT INVENTORY CONTROL

This form MUST be completed for release of liability for any given assest assigned to your department.
Please complete the form in detail and return it to your campus Business Office for porcessing.
See NTC procedure 7011P for step by step instruction for proper disposal of surplus or non-used inventory.
   
Date:
 _________________________________
Tag #:
 _________________________________
Item Description:
 _________________________________
Serial Number:
 _________________________________
Department/Campus:
 _________________________________
Contact Person:
 _________________________________

Check One:  
___ Traded-In What item replaces item?                  _________________
What company was item traded to?  _________________
How much was item traded for?       _________________
   
___ Junked or scrapped for parts  
   
___ Sold

To whom? ___________________________________
               (describe sale, ie: sealed bid, auction, garage sale, etc.)
   
___ Lost or Stolen attach police report or Statement of Loss (if applicable)
   
___ Transferred to another
          department.
 Circle one:       Temporary    or    Permanent
To what department? ____________________________
   
___ Other Please give specific explanation:
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________

 

 

 

Signature: _____________________________________________ Date: _______________

Campus Bus. Office verification: ____________ Inv. Control Clerk Entry: _______________