Last updated: 13-Mar-2013
Email Options: Web site comments/suggestions | General inquiries

USNH Surplus Property Request Form
Request to Donate

(Only one item per form can be listed)

* indicates required fields

Department Information

*Department *Contact Person *Email
*Phone *Fax *BSC *BSC Manager/Dept Head

Surplus Property Information

Estimated Original Purchase Amount
Estimated Current Value
*Purchased w/ Grant or Contract Funds?
(If unknown, contact Property Control prior to submitting this form)		 Estimated Age
*Category/Commodity *Quantity

*Description:

MFG and/or Model # Serial # UNH Tag # FATX # (off inventory)

*Does any of this equipment or material contain any data storage capability, media or device (ex. Hard drive, flash drive, or tape)?

Yes       No

Has all data on such data storage capability, media or device been wiped according to the USNH system access policy and UNH minimum compliance standards for that policy posted at http://cis.unh.edu/itsecurity?

Yes       No*

*Note: if the answer is no, you cannot continue.

Please provide indentifying information, date, and serial number(s) for all of the wiped data storage capability, media or device(s) (ex. Make/model of hard drive, date wiped and serial number):



Name of technician or service provider who wiped the media/devices:



Method of tools used to wipe device (ex. DBAN, NEAT, etc.):



I certify that the information in the data wiping section is correct. Note: if you have questions of this section of this form, please contact it.security@unh.edu.
I certify that the answer to the above question is correct. Note: if you have questions about this section of this form, please contact it.security@unh.edu.

Non-Profit Organization

*Name of Organization: *Contact Person:
*Street Address:
*City: *State: *Zip:
*Phone: Fax: E-mail:

Additional Comments:

Additional Notes:

*The department is responsible for the storage and security of surplus property.
*Surplus property may be donated when approved by the Purchasing Office via email.

Tip! Adding multiple items: Once one item has been submitted, return to the form and either click "Clear" or change only the necessary information and then submit the form again.

Clicking "Submit Surplus Form" indicates approval by the BSC Manager or Department Head listed above.