Transfer / Surplus Notice

Please complete this form to notify ADS of any change in computer assignment to another department or to request a computer be processed for surplus property. A ADS technician will contact you to pick-up the computer. Please note: for security reasons, ADS will clean the disk of any data prior to transferring the equipment to a new department or sending it to surplus property.

Please contact the ADS Help Desk at ext. 4-0109 or E-mail for more information.

TRANSFER / SURPLUS NOTICE
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	DATE:
	DEPARTMENT:
	DARE NAME:

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	Enter the ‘State ID’ of the Item to be Transferred	Enter the Transfer-to Department Name or ‘Surplus’, for Surplus Property
ITEM	STATE ID	DISPOSITION
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