Cortland Surplus Equipment Removal Request To:

Cortland
State University of New York at Cortland
Property Control Office
Surplus Equipment Removal Request
(For use with tagged, non-furniture items)
To:
Christopher Tucker
From: _________________________
(name of person making request)
Property Control
_________________________
Miller Bldg.
_________________________
(department)
(position or title)
_________________________
(signature)
___________
(date of request
Completion and submission of this form constitutes a formal request to have property permanently removed from your
department. Depending on the condition and serviceability of these materials they may be redistributed for use by
other departments on campus or may be disposed of.
Approval by department chair/head is required: _____________________ _______
Signature
date
SUNY
Property Tag #
Brief Item description
Building
Room #
ConditionE, G, F, P, Scrap
Operational?
Y or N