Disposal Date: Bar Code Number: ___________________
Completed by: ________________________________________________________________________
Description: ________________________________________________________________________ ____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Quantity: __________________________ Serial/Model No.: ______________________________
Disposal Method: Trade-in Junk Sale Trade Other __________________
Condition of Item: _____________________________________________________________________
Reason for Disposal: ___________________________________________________________________
____________________________________________________________________________________
Cost: $ Actual _____ Estimate ____
Controlling Person: Completed by:
(Initials) (date)
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Authorization:
Entered into the Fixed Assets Management System Record by: __________________________________
(Initials) (date)
The upper portion of this form is to be completed in accordance with the Fixed Assets Management System Administrative Regulations. The lower portion of this form is to be completed by the superintendent.
Instructions: This form is used to remove a fixed asset that is of no further service/use to the school district. The upper portion of this form is to be completed in accordance with the Fixed Assets Management System Administrative Regulations. The lower portion of this form is to be completed by the superintendent. The information on this form should be entered into the fixed assets management system on the same day the relocation/transfer is completed and no later than in the month in which the relocation/transfer occurred.
