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Property and Equipment Activity Form (PEA)

Please use this form when equipment location changes due to the following:
  • Equipment is being transferred to another department
  • Equipment is going to Surplus
  • Equipment is being transferred to the employees home
Complete the necessary fields for up to 6 assets, and click on the 'Submit' button below.

Asset #
Description
Model#
Serial#
Manufacturer
Biomed#
From
Unit# / Building / Room
To
Unit # / Building / Room
1
Condition:
Activity:
2
Condition:
Activity:
3
Condition:
Activity:
4
Condition:
Activity:
5
Condition:
Activity:
6
Condition:
Activity:


Initiating Department:
Name:
Email:
Site:
Phone: Pager/Cell:
Receiving Department:
Name:
Email:
Phone: Pager/Cell:

Special Instructions / Notes: