Request for Equipment Removal

Office of Property Management
(Form Instructions) Should you have any additional questions, or need to contact us, you may do so by calling (212) 650-5390 or emailing us at property@ccny.cuny.edu.

Your Name:

Date:

mm/dd/yy

Dean/Chair/Director:

Dept Phone #:

Type of Equipment:

Computer

Furniture

Other

Department:

Telephone:

E-mail:

Equipment Description:

Please provide a description of the equipment you would like removed.

Current Location of Equipment:

Where is the item(s) currently located?

CIT#:

Manufacturer:

Model:

Serial#:

Condition:

Good

Fair

Poor

Reason for Removal:

Surplus

Obsolete

Non-Repairable

Additional Equipment 1:

Please include the following: CUNY Tag#, Location/Equipment Description/ Manufacturer, Model, and Serial Number. If any are missing it will prolong the process. Please double check you information before submitting it to us.

Additional Equipment 2:

Additional Equipment 3:

Additional Equipment 4:

Additional Equipment 5: