Property Change Notice
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Required Fields
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Date:
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From:
(account name and number)
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To:
(account name and number/address)
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Change of Accountability
Intra-Dept Transfer
Missing
Surplus
Stolen
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Change of Location
To Be Moved
Already Moved Date of Move
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Items contain hazardous materials
Yes
No
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I certify that the hazardous materials have been properly removed
Yes
No
Tag Number
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Description and Serial No.
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From Location
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To Location
Building
Room
Building
Room
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Justification
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Fiscal Agent
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