COOPERATIVE EXTENSION SERVICE Property Transfer Form	MISC-374 Rev. 4-5-2007
Transferring Dept.	Receiving Dept.
Transfer Department:	Org.#	Receiving Department:	Org. #:
Contact Person:	Contact Person:
Date:	Phone #:	Date:	Phone #:
Signature of Dept. Head/Staff Chair Transfer Department	Signature of Dept. Head/Staff Chair Receiving Department
**(DEPARTMENTAL SIGNATURES ARE REQUIRED ON ALL TRANSFERS)
Is equipment to be transported by someone outside of department? Yes No (SELECT ONE)
If Yes:
Person Transferring (Moving) Equipment:	Department:	Date:
(Transferring person must initial beside each item moved)
Is equipment to be taken to the IT department prior to being taken to the receiving department? Yes No (Select One)
If yes:
Signature of IT employee who worked on equipment.	Date	Print Name
Transfer
Description of Equipment	CES Tag #	Serial #	NOTES	Dept/Room#	Initials
TRANSFER APPROVED BY FINANCIAL SERVICE OFFICE:
SIGNATURE	DATE
**SEND COMPLETED TRANSFER FORM TO FINANCIAL SERVICES OFFICE**