Fill and Sign the Fixed Asset Transfer Form

FIXED ASSET LOCATION TRANSFER FORM Please fill out the fields below to request change of location for a fixed asset. Initial Department: When completed and signed by the Financial Manager, Dean, Director or Department Chair of the initial department, please forward this form to the receiving department. Receiving Department: After the Financial manager, Dean, Director or Department Chair signs this form acknowledging receipt and accepting responsibility for the property, please forward it on the Financial Services. TRANSFER INFORMATION: Asset Tag #: __________________________________ Description (be specific): _______________________________________________ Make: __________________________________ __________________________________________________________ Model: __________________________________ Transfer from Location (Building & Room): __________________________ Manufacturer:__________________________________ Transfer to Location (Building & Room): __________________________________ Serial Number:__________________________________ Date of Transfer: ________________________________________ SIGNATURES: Initial Department: Name (Please type or print): ___________________________ Title: ______________________________ Signature: _______________________ Date: ______________________________ Date Entered in Banner: __________________________ Initials: ___________________ COMMENTS: Receiving Department: Name (Please type or print): FOR FINANCIAL SERVICES USE ONLY: Date Received: _____________ ___________________________ Title: ______________________________ ________________________ ________________________ ________________________ Signature: FORM 2016 _______________________ Date: ______________________________ ________________________