Removal of Property From Campus Request

The undersigned requests authorization to remove from the Stephen F. Austin State University
Campus the equipment listed below belonging to department , 
org:  for the following purposes:

The undersigned certifies that:

1. The purpose(s) listed above constitue offical business of Stephen F. Austin State University.

2. The equipment removed will be taken to physical location below:

3. Name and title of person responsible for equipment while it is removed from the campus


(Name)	(Campus ID)	(Title)

4. Date equipment will be REMOVED from campus:

5. Date equipment will be RETURNED to campus:

Inventory #	Description	Purchase Date	Inventory Value

NOTE: THIS FORM MUST BE RESUBMITTED ANNUALLY!!