Surplus Form:

This form is now required for all Surplus Pick-Up Requests or Scheduled Drop-Offs.

Before completing this form, please submit a Work Order for a Surplus Pick-Up through Maintenance Connection: WKU's campus-wide maintenance request system. Registered users may do so here.

The Surplus Form below provides Surplus and Recycling staff with the necessary information to properly manage, track, and report Surplus assets, maximize asset value to the university, and boost efficiency. Thank you for helping to improve Surplus procedures!

If you see this don't fill out this input box.

* Surplus Pick-Up Request Work Order #

* Full Name

* Position/Title

* Campus Phone Number

Alternative Phone Number

* Location of Items to be Picked-Up

Building, Room#: Please be as specific as possible. If someone moves the items after submitting this form, please email elizabeth.gafford@wku.edu, so we will be able to find them in their new location.

Are these items easily accessible?

Yes, these items are in an unlocked space, and Surplus may pick up these items any time during normal business hours.

Sometimes: This room is occasionally locked. Please contact me to schedule pick-up

No, this room/closet is always locked. Please contact me to schedule pick-up

* Item Description

Example: wooden bookshelf

* Inventory Control Number(s)

Please list these in order of the items listed above. Inventory Control Numbers are very important to report to ensure accuracy of insurance and financial records. Please look carefully for these numbers on all items and record them accurately. If no ICN is present for an item, please write, "Not present."

* Please briefly describe the condition of each item:

Example: Is this item gently used, new, damaged, broken, etc.?

* Reason for Surplussing Items

For Example: Renovation project, item is no longer needed, damaged/broken, etc.

* Statement of Release by Authorized Personnel

By checking this box, I affirm that I am the Department Head, Vice President, or person authorized to release items to Surplus for disposal in accordance with KRS 45A.425 and for removal of the item(s) from the Department's inventory.

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