DECLARATION and DISPOSAL of SURPLUS ASSETS

To be used whenever University of Saskatchewan assets are no longer needed and are to be disposed of

INSTRUCTIONS

The department information section must be complete with descriptions, serial number, equipment inventory number and appropriate authorization.

A new form must be completed on-line for submission – Do not reuse forms.

All computer equipment must be accompanied with a completed Media Assurance Disposal Form.

Submit completed form to Surplus Assets Disposal-Logistics Management, University Services Building.

Declaration Number Please use the declaration number for any inquires.

CONTACT INFORMATION

NAME:	EMAIL:
DEPARTMENT:	PHONE:
LOCATION OF EQUIPMENT:	DATE: May 16 , 2012
COMMENTS\SPECIAL INSTRUCTIONS:

AUTHORIZATION (DEAN/DEPT HEAD)

PRINT NAME_________________________________SIGNATURE______________________

DETAILS

ITEM	DESCRIPTION	SERIAL #	U of S TAG #	CONDITION
1
2
3
4
5
6

FOR INTERNAL USE

Date Picked up ______________________________ Picked by _______________________________

Destination________________________________ Received by_____________________________