Transfer Date: Bar Code Number: ____________________________________
Description: ________________________________________________________________________ ____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Quantity: __________________ Serial/Model Number: ___________________________________
Transfer From:
Building: _____________________________________________________________________________
Building Code: __________________________ Department/Room:_____________________________
Controlling Person: Completed by:
(Initials) (date)
Transfer To:
Building: _____________________________________________________________________________
Building Code: __________________________ Department/Room: _____________________________
Reason for the Transfer: _________________________________________________________________
____________________________________________________________________________________
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 only when a fixed assets is relocated/ transferred to another location for continued use. 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.
