• CSULB Home
• Students
• Faculty & Staff
• Alumni
• Parents
• Visitors & Community
• Giving to CSULB

PROPERTY SURVEY / TRANSFER REQUEST FORM

INSTRUCTIONS:

1. To request transfer or survey of University inventory property, departments are to complete and submit the Property Survey/Transfer Request Form to the PMO.
2. Complete the form and use the button below to display a printer friendly version.
3. Print the form and obtain the appropriate signatures. Approval of Appropriate Administrator (Level 4 - designated Division approver or back-up) is required. Appropriate Administrators may require additional department approval prior to division approval. The form includes a department record keeper signature line for department use only.
4. Complete the media sanitization certification on the form for all media storage devices. Identify method of sanitization and applicable line items. Approval of Information Technology Coordinator is required.
5. For Property Transfers to a campus department, the transfer to department is to certify that the property is approved for transfer by signing the Property Transfer Acceptance Approval (Transfer to Department) section. In addition, the new location where the property will be maintained is to be identified.
6. Attach a copy of the form to the item.
7. Return the form with the signatures to the Property Management Office or email the form to Property@csulb.edu
8. The Property Management Office will contact the department regarding pick-up and/or drop-off requirements.
9. For Property Transfers to another state agency, the other agency is to confirm receipt of the items by signing the Property Transfer Approval (Other Agency) section and forwarding the form to the Property Management Office.

Fields with * are required.

REQUESTOR INFORMATION

*Last Name *First Name *Phone No:
*Dept ID & Department name: *Date:

PROPERTY INFORMATION

Ln	ITEM DESCRIPTION	PropertyTag #	Acquisition Year	Original Value $	Est. Market Value $	Present Condition Code Present Condition Code A = Excellent & Good (working condition) B = Fair (working condition, but needs repair) C = Poor & Junk / Broken (not in working condition or obsolete)	Disposal Code Disposal Code 1 = Remit to PMO for Disposal 2 = Transfer to CSULB Dept 3 = Transfer/Donation to Other Agency 4 = Trade In 5 = Lost / Missing 6 = Stolen	Transfer to Dept ID	Transfer to Dept Name
1						A B C	1 2 3 4 5 6
2						A B C	1 2 3 4 5 6
3						A B C	1 2 3 4 5 6
4						A B C	1 2 3 4 5 6
5						A B C	1 2 3 4 5 6
6						A B C	1 2 3 4 5 6

PROPERTY TRANSFER ACCEPTANCE APPROVAL (Transfer to Department) (if applicable - Disposal code 2)

I certify that the above listed property is approved for transfer to the identified Department and will be maintained at the location identified below.
Appropriate Administrator Name (Transfer to Department) (Enter First and Last Name)

PROPERTY TRANSFER APPROVAL (Other Agency) (if applicable - Disposal code 3)

The item(s) above have been received.
State Agency Name

State Agency Shipping Address

Property Custodian Name (Enter First and Last Name)

Property Custodian Telephone Number

TRADE-IN DETAILS (if applicable - Disposal code 4)

Trade-In Requisition Number:

LOST/MISSING/STOLEN ITEM DETAILS (if applicable - Disposal code 5 and 6)

Police Case # (only for stolen items):
Date Last Seen
Was Item Secured?
Was Item In Locked Room?
Precautions Taken:
Additional Comments:

MEDIA SANITIZATION CERTIFICATION (if applicable)

I certify that the electronic computing devices and/or electronic media itemized on this form have been properly cleared and/or destroyed according to the CSULB Electronic Media Sanitization Procedure.
Dept Information Technology Coordinator (Enter First and Last Name)

PICKUP/DROP OFF

*Department to Drop-Off Item: YES NO
*Pick-Up Required: YES NO
*Weight approximate: (lbs.)
*Dimensions approximate: (H * W * L in Feet)

DEPARTMENT APPROVAL

I certify that to the best of my knowledge the above statements regarding University property are true and correct. The recommended disposition is in the best interest of the University.
*Department Record Keeper Name (Enter First and Last Name)

*Appropriate Administrator Name (Enter First and Last Name)

Problems displaying a printer friendly version?

Troubleshooting Problems Displaying a Printer Friendly Version

There are several reasons why the printer friendly version may not display

• Acrobat Reader is required. If you do not have Acrobat Reader, click on Get Acrobat Reader to download this program for free.
• Acrobat Reader is configured so that it does not display PDF files in the browser. To resolve this, open Adobe Reader. Select Edit->Preferences. Click on the Internet Category on the left side of the window. Place a check in the box next to "Display PDF in browser". Close Acrobat Reader.
• Your Acrobat Reader installation needs to be repaired. To resolve this, click on Help->Repair Adobe Reader Installation. Close Acrobat Reader.
• If you have any problems completing this form, please contact fmsupport@csulb.edu.

Try to display a printer friendly version again.

Return to Form Entry