GCC AZ: Procurement: Surplus Request Form

Surplus Request Form
Campus Requesters: Use this form to request pick-up of broken or unwanted furniture. This form will be used as a basic tool to gather information. Your submission will be forwarded to the Procurement team and you will be contacted for scheduling. If the furniture is tagged, please have a Property/Transfer Disposal Form ready at the time of pick-up. If the furniture is in good condition, the Procurement team will try to place it on campus prior to sending to surplus. We maintain a stand-by list of individuals looking for specific items. Once a surplus item has been picked up from your area, it is non-returnable.
Date
Requester
Department
Phone
Department/Unit Head
Office or Classroom Location (Building)
Office or Classroom Location (Room)
Description Location Please provide a specific location of the item, this is especially helpful in an area where there is a significant amount of furniture.
Item to Surplus
If broken, is the furniture a safety hazard?	Yes No
Reason for Surplus Request (i.e. item broken, purchased new furniture, do not want, etc.)

Glendale Community College • 6000 West Olive Avenue • Glendale Arizona 85302 • 623-845-3000
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