BINGHAMTON UNIVERSITY
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:
Within Department, relocated to different building
(Fill out sections 1, 2, 3 and 10 only)
Outside
Department
(Fill
out
sections
1, 2, 4 and 10 only)
Off campus for Repair / Class Project
(Fill out sections 1, 2, 5 and 10 only)
On Loan (Off campus)
(Fill out sections 1, 2, 6 and 10 only)
Permanent
Disposal
(Fill
out
sections
1, 2, 7 and 10 only)
Lost
or
Stolen (Fill
out
sections
1, 2, 8 and 10 only)
Trade-In
(Fill
out
sections
1, 2, 9 and 10 only)
1. Originating Department:_______________________________________________________ Date:____________
2. Equipment Decal # and Description:
3.
SUNY / RF / BUF Number
Equipment Description
4. Transfer Within Department, Relocated to Different Building:
Location Moved From:___________________________________ To:_____________________________________
Building
Room
Building
Room
5. Transfer Outside Department:
Location Moved From:___________________________________ To:_____________________________________
Building
Room
Building
Room
6. Off-campus for Repair/Class Project:
Location Moved From:___________________________________ To:_____________________________________
Building
Room
Building
Room
7. On Loan: (Off campus)
Location Moved From:___________________________________ To:_____________________________________
Building
Room
Building
Room
Loaned To:____________________________________________ _____________________________________
(Print
Name)
(Signature)
Purpose of Loan:________________________________________ To Be Returned On:_______________________
Date Returned: __________ Condition of Equipment upon return: _____________________________________
8. Permanent
Obsolete/Disposal:
Location Moved From:___________________________________ To:_____________________________________
Building
Room
Building
Room
Reason for Request To Consider Obsolete or To Dispose:________________________________________________
9. Lost/Stolen:
Last Known Location:____________________________________ Date Noticed Lost/Stolen:___________________
Building
Room
9. Trade-In:
Location of Equipment:___________________________________ PO # of New Equipment:___________________
Building
Room
Name/Description of New Equipment:_______________________________________________________________
10. Departmental Approvals:
Chair or Department Director:______________________________ _____________________________________
(Print
Name)
(Signature)
Dept. Property Control Custodian:___________________________ _____________________________________
(Print
Name)
(Signature)
RF Project Director:______________________________________ _____________________________________
(Print
Name)
(Signature)
Distribute copies as follows:
White (Property Control)
Canary (Department)
Pink (Public Safety)
Gold (Attach to equipment)
Green (RF Sponsored Funds)
THIS AREA FOR PROPERTY CONTROL OFFICE ONLY
SUCF System Input Date:_______ Status Code:______ Storage Area:__________________________________________
Permanent Disposition:__________________________ Receipt #:__________________________ Date:_____________
Property Control Officer:____________________________________ ________________________________________
(Print
Name)
(Signature)
VP, Administration:________________________________________ ________________________________________
(or
Designee)
(Print
Name)
(Signature)
(Required for all Disposals and Lost / Stolen equipment only)
09-23-98