Declaration of Surplus Property Form

Submitted By

Email

U.S. phone number

Department

Building

Room Number

Item 1 Description

Item Transportation

Items need to be picked up

Items will be delievered to the Mail Room

Item 1 Quantity

Item 1 Condition

Item 2 Description

Item 2 Quantity

Item 2 Condition

Item 3 Description

Item 3 Quantity

Ittem 3 Condition

Item 4 Description

Item 4 Quantity

Item 4 Condition

Item 5 Description

Item 5 Quantity

Item 5 Condition

Item 6 Description

Item 6 Quantity

Item 6 Condition

Item 7 Description

Item 7 Quantity

Item 7 Condition

Item 8 Description

Item 8 Quantity

Item 8 Condition

Item 9 Description

Item 9 Quantity

Item 9 Condition

Item 10 Description

Item 10 Quantity

Item 10 Condition

Additional Comments

Once Item Is Submitted to Auction, It Can Not Be Reclaimed