SL01190_.gif (1835 bytes)DITS Equipment Transfer Form (for Hardware Repair)

Complete the information below to inform DITS of equipment that has been delivered to a vendor for repair:

Vendor:
Date Requested: Date Delivered:
Requested by: Delivered to:
Title: Delivered by:
Requestor's Phone: Vendor Phone:
Requestor's FAX: Vendor FAX:
Old Location: Vendor Location:

Property Transferred:

Item# Quantity MSM ID# Description Serial #

  

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