Last updated: 06-Feb-2006
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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)

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.