Los Angeles Southwest College Fixed Asset Change Request Form


This form must be completed and forwarded for approval prior to moving any inventoried asset on campus.  With the new barcode system all assets valued at $500 and above are being tracked.  Monthly audits will be conducted by the District Office and College staff to make sure that equipment is in the correct location.  Please submit this form on-line indicating the name of the approving supervisor.  The form will be received by the Vice President for Administrative Services for review and for final approval.  DO NOT MOVE EQUIPMENT UNTIL YOU ARE NOTIFIED OF APPROVAL.

Type of Change:


Identification Tag Number


Please provide the following contact information:

Name
Title
Work Phone
FAX
E-mail

Serial Number of Item


Building and Room Number


Transfer Date

-- mm/dd/yy

Description of Item


Manufacturer


Model Number


Releasing Department                Current Location of Equipment


Receiving Department                        Proposed Location of Equipment


Department Approval


President's Approval



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Revised: 06/20/03