Request for Used Furniture, Request for Furniture Transfer, and Equipment Transfer Document

Request for used furniture: Use this form when used furniture is requested for your site or department.


Request for furniture transfer: Use this form when furniture is to be moved from one site/department to another site/department. Or if no longer needed the items may go back to the distribution center. These items must be in good condition.


Equipment transfer document: Use this form when equipment and/ or furniture that has a CTag or a manufacturer serial number and is no longer of use at your site or department. These items are beyond economical repair or obsolete.


*A printed copy of your request must be placed with the equipment and/or furniture in order for distribution to pick up.

Please select from the dropdown menu the type of request you need.

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Request for used furniture: Use this form when used furniture is requested for your site or department.

Request for furniture transfer: Use this form when furniture is to be moved from one site/department to another site/department. Or if no longer needed the items may go back to the distribution center. These items must be in good condition.

Equipment transfer document: Use this form when equipment and/ or furniture that has a CTag or a manufacturer serial number and is no longer of use at your site or department. These items are beyond economical repair or obsolete.

Last Name, First Name

Phone

Last Name, First Name

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Please list the person and or room number where the furniture should be delivered.

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Please list the person and or room number where the furniture should be delivered.

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Please list the person and or room number where the furniture should be delivered.

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  1. Only enter 1 item per furniture/description line.
  2. For furniture request and furniture transfer request forms you may enter the appropriate quantity amount needed.
  3. Each form allows up to 13 items.
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  1. Only enter 1 item per line.
  2. Each form allows up to 13 items.
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The quantity is defaulted to 1 per line when filling out an Equipment Transfer Document.

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If there is no CTag or Manufacture Serial Number please enter N/A

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If there is no CTag or Manufacture Serial Number please enter N/A

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If there is no CTag or Manufacture Serial Number please enter N/A

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If there is no CTag or Manufacture Serial Number please enter N/A

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If there is no CTag or Manufacture Serial Number please enter N/A

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If there is no CTag or Manufacture Serial Number please enter N/A

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If there is no CTag or Manufacture Serial Number please enter N/A

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If there is no CTag or Manufacture Serial Number please enter N/A

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If there is no CTag or Manufacture Serial Number please enter N/A

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If there is no CTag or Manufacture Serial Number please enter N/A

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If there is no CTag or Manufacture Serial Number please enter N/A

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If there is no CTag or Manufacture Serial Number please enter N/A

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If there is no CTag or Manufacture Serial Number please enter N/A

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If there is no CTag or Manufacture Serial Number please enter N/A

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If there is no CTag or Manufacture Serial Number please enter N/A

Use the Equipment Transfer Additional Spreadsheet if you have more than 15 entries.

Equipment Transfer Additional Spreadsheet

Drag and drop files here or

**Check the box below to receive an email of your request to print.

A printed copy of your request must be placed with the equipment and/or furniture for transfers or ETD's in order for distribution to pick up.