Inventory Equipment Update Form

Please complete this form when you have received equipment that needs to be in the inventory system and for any deletions.

Name Name First Last
Email
Building
Date Date / MM / DD YYYY
If this item is a piece of technology equipment - has the purchase been pre-approved by Kathy Verhest?

If this item is a piece of technology equipment - has the purchase been pre-approved by Kathy Verhest? Yes No Not Applicable
If this item is a piece of technology equipment - has a Help Ticket been completed for Inventory Stickering. The Help Ticket MUST BE FILLED OUT!

If this item is a piece of technology equipment - has a Help Ticket been completed for Inventory Stickering. The Help Ticket MUST BE FILLED OUT! Yes No Not Applicable
Type
Is this a Federal Fund or State Fund Purchase

Is this a Federal Fund or State Fund Purchase Yes No
Vendor Name (New Equipment)
Purchase Order (New and Obsolete Equipment)
Donated By
Description
Cost $ Dollars . Cents
Date Received Date Received / MM / DD YYYY
Quantity
Serial Number(s) (New Equipment and Obsolete Equipment)
Room Number
Obsolete - Condition of Equipment/Reason for Removal
**By filling out this section, you are confirming that your Principal/Supervisor has authorized this disposal.
Inventory Control Number for Obsolete Equipment
If no sticker, please fill in the serial number(s) above.
Work Order Completed for Maintenance Pick-Up

Work Order Completed for Maintenance Pick-Up Yes
Help Ticket Completed for Technology Pick-Up

Help Ticket Completed for Technology Pick-Up Yes
Inventory Control Number(s) or Comments