Surplus Request Form
Short description of surplussed item(s)
Please describe the item(s) you would like to declare surplus. Enter VIN, model or serial numbers (for vehicles, electronics, etc.) as applicable.
Please select one the following categories
Vehicle, equipment, furniture, IT hardware, etc.
Academic and Educational services
Academic/School Equipment/Teaching Aids/and Supplies
Community and Recreational goods and services
Construction (Public Works/Parks)
Construction Manager Services
Custodial supplies and services
Design and Engineering
Energy and Electrical Services
Food and food services
Fuel & Energy Supplies
Homeless Education Transportation
Industrial Supplies and Equipment/Tools/Hardware/“nuts & bolts”
IT – Hardware
IT – Software and Services
Job-related training/Professional memberships
Landscaping/and Natural Supplies
Medical/Health/Emergency/and Community Wellness Supplies & Services
On Call Services/House Doctor
Printing/Marketing/Collateral Materials/Graphic Design
Professional and Technical
Rentals and Leasing/equipment
Rentals and Leasing/real property
Seasonal supplies and services
Snow Removal and Salting/Sanding
Special Education Tuition/Transportation
Street Resurfacing/Roadway Maintenance
Traffic and Parking (Supplies and Services)
Uniforms and Related Professional Equipment
Vehicle Maintenance and Parts
Water and Sewer Infrastructure services and supply
Reason for surplussing item(s)
Please describe why the proposed surplus is no longer useful to your department.
Value of item(s)
Please provide an estimate of the total fair market or salvage value of the item(s) you would like to declare surplus.
Explain item(s) value
Please describe your efforts in providing the above-estimate. Did you consult third-party valuation resources (e.g., Kelly Blue Book, etc.)? Feel free to attach additional pages if necessary.
Council on Aging
Exec. Office of Enviro.
Traffic and Parking
Please add extension
Please attach pictures of item(s) and other files as needed
Send me a copy of my responses
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