Systems and Procedures
A Division of The Corporate Controller's Office

REPORT OF TEMPORARY RELOCATION OF TANGIBLE ASSETS FORM INSTRUCTIONS

Form Instructions

  1. From Custodian – Indicate the name of the custodian of the tangible asset
  2. From Department – Indicate the department or administrative area from which the tangible asset is being relocated.
  3. From Building – Indicate the building name from which the tangible asset is being relocated.
  4. From Room – Indicate the room number from which the tangible asset is being relocated.
  5. To Custodian – Indicate the name of the custodian to which the tangible asset is being transferred.
  6. To Department – Indicate the department or administrative area to which the tangible asset is being relocated.
  7. To Building – Indicate the building to which the tangible asset is being relocated.
  8. To Room – Indicate the room number to which the tangible asset is being relocated.
  9. Table – The table contains three (3) columns and 13 rows for data entry.

  10. Inventory Tag Number Column – Enter the inventory tag number for the tangible asset being relocated.
  11. Serial Number Column – Enter the serial number for the tangible asset being relocated (if applicable).
  12. Article Column – Provide a complete description of the first tangible asset being relocated.
  13. Remarks – Include any necessary remarks.
  14. Signature of the Preparer – After all data has been entered, the form is printed, signed, and dated by the preparer. Forward to original to:
    1. Property Inventory – 101 Rider Building, 227 W. Beaver Avenue, State College, PA 16801
    2. Hershey College of Medicine – Controller’s Office G230, 500 University Drive, Hershey, PA 17033

Image of Report of Temporary Relocation of Tangible Assets Form