Surplus Property Report

General Information
COLLEGE/AREA
DEPARTMENT
UNIT
MAIL CODE
ORG. NO.

Indicate Ownership
WSU FEDERAL GOVERNMENT (Confirm transfer allowability
with Sponsored Programs Services and attach federal release.)

Requested Action
Transfer to Surplus Stores
Place on consignment at Surplus Stores
FUND/SFND/PROG/BUDGET/PROJ/SRC/SUBSRC
(Enter full account code, selling price, and original voucher
number. See BPPM 20.76 for full instructions.)
VOUCHER NUMBER
SELLING PRICE
Trade In (Obtain approval prior to purchase. See BPPM 70.12.
Attach a copy of the Purchase Order.)
NEW PURCHASE ORDER NUMBER
TRADE IN VALUE
Other (Provide attachment if necessary.) EXPLANATION

Item Information (Enter only one inventory/serial number per form)
ITEM NAME & DESCRIPTION
(Must match online description.)
FUNCTIONAL?
(yes/no)
ITEM SERIAL NUMBER WSU INVENTORY NUMBER

Inventory Disposition
Item is not inventoried. (See 20.50.)
Item was on departmental inventory, but has been deleted. (See 20.51.)
Item is on University inventory. (See 20.50.) Surplus Stores will notify Property Inventory of disposal and the record will be updated.

Potentially Contaminated or Hazardous Itemsn
Laboratory, medical, or shop/industrial item * Refrigerator or freezer used in laboratory * **
Office item Refrigerator or freezer not used in laboratory ** N/A
* Attach an Item Evaluation form. (See 20.77 for form and instructions.) Item will not be collected unless the Item Evaluation form is completed and affixed to the item.
** Attach an IRI for $30 to dispose of a nonfunctioning refrigerator or freezer.

Departmental Approval
EQUIPMENT COORDINATOR NAME
DATE
TELEPHONE

Submit Info

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