Surplus Property Disposition Form

Name of Employee:
Email of Employee:
Department:
Date of Request (mm/dd/yyyy):

Item #1
Disposition Status:

Retirement: Means you no longer want the item and have no other WLU department that the item is to be transferred to.
Transfer: Means you either are transferring the item to a different building location within your department, or you wish to transfer the item to another WLU Department as indicated below.

Transfer to:
WLU Tag Number:
The official Red Tag or the WLU number printed on equipment if no tag. If your department has also assigned and attached its own inventory tags to the equipment, please don't report that inventory number, only report the WLU tag number. If in doubt, call Anthony Salatino at 304-336-8116.

Quantity:
Unless otherwise applicable always list quantity as "1".

Item Description:
Please include the Item Name and a Brief Description.
Brand Name
Model Number

Serial Number (if applicable):
Physical/Operating Condition of Equipment:
Please be as specific as possible. Categories of examples include, but are not limited to: (If none of these apply, please call Purchasing for help)
Junk (Not Worth anything. Usually has been damaged beyond repair)
Salvage (Possibly worth something for parts or scrap metal, etc.)
Obsolete but Usable (Functional, not in need of repairs, but not considered state-of-the-art for your department)
Repairable (Item not currently functioning, but could possibly be repaired. If known, you may give the last known estimate of cost to have repaired.

Comments Please include the present location of the equipment and other comments as necessary:

Item #2
Disposition Status:
Transfer to:
WLU Tag Number:
Quantity:
Item Description:
Serial Number:
Physical/Operating Condition of Equipment:
Comments:

Item #3
Disposition Status:
Transfer to:
WLU Tag Number:
Quantity:
Item Description:
Serial Number:
Physical/Operating Condition of Equipment:
Comments:

Item #4
Disposition Status:
Transfer to:
WLU Tag Number:
Quantity:
Item Description:
Serial Number:
Physical/Operating Condition of Equipment:
Comments:

Item #5
Disposition Status:
Transfer to:
WLU Tag Number:
Quantity:
Item Description:
Serial Number:
Physical/Operating Condition of Equipment:
Comments:

Item #6
Disposition Status:
Transfer to:
WLU Tag Number:
Quantity:
Item Description:
Serial Number:
Physical/Operating Condition of Equipment:
Comments:

Item #7
Disposition Status:
Transfer to:
WLU Tag Number:
Quantity:
Item Description:
Serial Number:
Physical/Operating Condition of Equipment:
Comments:

Item #8
Disposition Status:
Transfer to:
WLU Tag Number:
Quantity:
Item Description:
Serial Number:
Physical/Operating Condition of Equipment:
Comments:

Item #9
Disposition Status:
Transfer to:
WLU Tag Number:
Quantity:
Item Description:
Serial Number:
Physical/Operating Condition of Equipment:
Comments:

Item #10
Disposition Status:
Transfer to:
WLU Tag Number:
Quantity:
Item Description:
Serial Number:
Physical/Operating Condition of Equipment:
Comments: