Inland Marine Submissions

Inland Marine Submissions

Submission for coverage is for Assets valued between $250.00 and $5,000.00.

RMI suggests scheduling property that is frequently transported and/or subject to theft, breakage or easily damaged.

Deductible: $250.00

NAME OF COLLEGE OR OFFICE:*

Official Name

NAME OF DEPARTMENT*

DEPARTMENT CODE:*

DATA ENTERED BY: (NAME OF EMPLOYEE)*

EMPLOYEE EMAIL:*

BUILDING NAME: (LOCATION OF ASSET)*

Please indicated the name of the building where the asset or the purchasing department is located.

BUILDING ADDRESS:*

Enter actual physical address of named building.

ACTION*

Select

ACTION BASIS:*

Select

NEW SERIAL NUMBER:*

SERIAL NUMBER FOR REPLACED/DELETED ASSET:

ASSET DESCRIPTION: (YEAR, MAKE, MODEL, ETC.):*

PURCHASE DATE:*

PURCHASE PRICE:*

Department Notes:

BOISE STATE TAG NUMBER:

Assets valued at $2,000.00 or more are assigned a tag number by Boise State's Controller's Office. Please enter the assigned tag number. If you do not have a tag number for an asset valued at $2,000.00 or more, please contact the Controller's office before submitting the asset.

Assets valued at $2,000.00 or more without a valid tag number will not be scheduled for coverage and can be removed based on audit.

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