Departmental Inventory Deletion/Change Form

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Complete this form for any inventory item that needs to be removed from the current department's inventory list. Purchase Order information is required for items with a capital asset tag (original value of $5000 or more). Submit one item per form.

Please direct all questions regarding University inventory and use of this form to Cami Dohman at 605.642.6328.

BHSU Inventory #:

Date:

Department:

Department Account #:

Current Location of Item (include building and room number):

Campus Unit Number:

Campus Phone Number:

PO Number:

Purchase Date:

Purchase Cost:

Item Description:

Serial Number:

Condition of Item:

Reason for Change:

Submitted by:

Email: