Assets Information Form
INSTRUCTIONS:
This form should be used for purchases made using the Procurement Card for capital equipment or controlled information. Fill in the blanks with the appropriate information. At the end of this form, you will send this information via e-mail to the Assets Management Department for processing.

 
Select Type of Purchase:  Procard MORIOther
Date of Purchase: 
Credit Card Transaction Number: 
Credit Card Holder: 
Vendor: 

EQUIPMENT INFORMATION

Description of Equipment:

Department of Equipment: 

Location of Equipment: 
(Bldg/Room)

Model #: 

Serial #: 

Manufacturer: 

(if applicable)
 
Asset Amount: $  Amount of Transaction: $  PeopleSoft Account:

Enter additional comments here:

REQUESTOR'S INFORMATION

YOUR Name: 

Department: 

Telephone Number: -  extension: 

YOUR E-mail address: 

Press one of the following buttons to either clear the values in the form or submit the request to the Assets Management Department for processing.

If you have questions, contact:

CAM at 713-500-4701