11 - 020P Preparation of Furnished Equipment Form

A. 69ÀÖÔ° 11-020F: Furnished Equipment Form

Form: 69ÀÖÔ° 11-020F: Furnished Equipment Form
Obtain Blank Forms From:

69ÀÖÔ° 11-020F: Furnished Equipment Form
69ÀÖÔ° Property Control
foc.accounting@usnh.edu

Forward Completed Forms To:

69ÀÖÔ° Property Control
5 Chenell Drive, Suite 301
Concord, NH 03301

 

B. Purpose of 69ÀÖÔ° 11-020F: Furnished Equipment Form

Purpose of Form 69ÀÖÔ° 11-020F: To provide information on items which are in the custody of 69ÀÖÔ° personnel, but not owned/used by 69ÀÖÔ°. These items are tracked by 69ÀÖÔ° but are not recorded by 69ÀÖÔ° or barcoded by 69ÀÖÔ°. Receipt of sponsored government furnished equipment should be reported to 69ÀÖÔ° Property Control and STAR by the department receiving the equipment. Furnished equipment is titled to the government and reports must be filed concerning government-owned equipment.

C. Instructions for Completing 69ÀÖÔ° 11-020F: Furnished Equipment Form

1. Required Custodial Information

Department:

Name of the department receiving the equipment

Orgn Code:

Banner Orgn code associated with the above department

Date Received:

Date the equipment was received by the department

Furnishing Agency:

The agency or institution the equipment was received from

Agency Code:

Banner 69ÀÖÔ° ID code associated with the furnishing agency

Address:

Address of the furnishing agency/institution

Grant Name:

The grant name associated with the equipment

Grant Code:

Banner grant code associated with the equipment

Equipment Custodian:

Name of the person who is responsible for the location and the use of the equipment while it is at the University

Custodian ID:

69ÀÖÔ° ID # of Equipment Custodian/Manager

2. Required Information about the Equipment:

Description:

A clear description of the equipment

Serial #

The unique identification number which manufactures often assign to each piece of equipment. This can usually be found of the piece of property.

Model #:

The manufacturer's model number

Manufacturer:

The name of the company or organization which produced the equipment

Estimated Value:

Value given to the item by the provider. If no value has been given, use an estimated value.

Estimated Age:

Approximate age of equipment in years

Condition:

Condition of equipment

Location:

The building name, number, and room where the equipment will be housed while at the University

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