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    Equip Disposal Form

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    nolton.lavergne
    This document outlines the process for transferring or disposing of equipment at CHRISTUS Schumpert Health System. It requires the originating department to complete sections 1 and 2 providing details of the equipment and the requested disposition. The Asset Control Team then reviews the request and makes a recommendation. Administrative approval is required for the final disposition, which may include transferring to another department, storing temporarily, trading in, selling, discarding, or donating. The treasurer facilitates any funds received from sales. Copies of the completed form are distributed to relevant departments for tracking purposes.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Equip Disposal Form

    Uploaded by

    nolton.lavergne
    147 views1 page
    This document outlines the process for transferring or disposing of equipment at CHRISTUS Schumpert Health System. It requires the originating department to complete sections 1 and 2 providing details of the equipment and the requested disposition. The Asset Control Team then reviews the request and makes a recommendation. Administrative approval is required for the final disposition, which may include transferring to another department, storing temporarily, trading in, selling, discarding, or donating. The treasurer facilitates any funds received from sales. Copies of the completed form are distributed to relevant departments for tracking purposes.

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    This document outlines the process for transferring or disposing of equipment at CHRISTUS Schumpert Health System. It requires the originating department to complete sections 1 and 2 providing details of the equipment and the requested disposition. The Asset Control Team then reviews the request and makes a recommendation. Administrative approval is required for the final disposition, which may include transferring to another department, storing temporarily, trading in, selling, discarding, or donating. The treasurer facilitates any funds received from sales. Copies of the completed form are distributed to relevant departments for tracking purposes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    147 views1 page

    Equip Disposal Form

    Uploaded by

    nolton.lavergne
    This document outlines the process for transferring or disposing of equipment at CHRISTUS Schumpert Health System. It requires the originating department to complete sections 1 and 2 providing details of the equipment and the requested disposition. The Asset Control Team then reviews the request and makes a recommendation. Administrative approval is required for the final disposition, which may include transferring to another department, storing temporarily, trading in, selling, discarding, or donating. The treasurer facilitates any funds received from sales. Copies of the completed form are distributed to relevant departments for tracking purposes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    CHRISTUS Schumpert Health System

    Equipment Transfer or Disposition Form


    Capital – complete sections 1& 2 and present to Asset Control Team (Tuesday Mornings 8:30 Purchasing Conference Room)
    Attach Plant Operation move request form if requesting item be transferred to another department or stored in warehouse (limit 3 months).
    Non-Capital – complete sections 1&2 and submit to Purchasing (St. Mary Campus)
    Attach Plant Operation move request form if requesting item be transferred to another department or stored in warehouse (limit 3 months)

    1. Facility and Equipment Information (completed by disposing department)


    St. Mary Place Bossier Highland
    Originating Dept. Name: Dept. #: Date:
    Department Head Approval: Phone #:
    Equipment Description: Manufacturer:
    Equipment Works Yes No If no, can it be fixed? Model #:
    Inventory Control # (on Biomed Sticker): Serial #:
    Original Date of Purchase3 (estimate, if known): Original Cost (if known):

    2. Type of Disposition Requested (completed by disposing department)


    Reason for Disposition: Replaced with new equipment No longer required Other: .
    Type of Disposition: Transfer to following Dept.: Dept. #:
    Storage in Following Location: Estimated Time:
    Trade in on new equipment (attach to CAF):
    Sell to: Requested Selling Price:
    Discard:
    Donate to:
    Notes:

    3. Asset Control Team Review


    Finance Asset #: Book Value: Recommended Selling Price:
    Disposition: Agree with Department Recommendation Disagree with Department Recommendation
    Recommended Final Disposition:
    Finance: Date:
    BioMed: Date:
    Plant Ops: Date:
    Information Management: Date:
    Materials Management: Date:

    4. Administrative Approval
    Transfer Store Trade in Sell Discard Donate
    V.P.: Date: CFO: Date:
    *Finance / Treasurer will collect approved forms from Administration and facilitate receipt of funds, if appropriate.

    5. Funds Received (completed by Treasurer)


    Treasurer: Amount Received: Date:
    Accounting: Date:

    6. Copy Routing Upon Completion


    Finance Disposing Dept. Treasury Biomed Plant Ops
    (original for Asset Control) (copy for records) (copy if funds received) (copy for Inventory Control) (copy if move or storage is required)

    Rev. Date: 3/05

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