Surplus Equipment Form (Must Fill Out!)

Employee Name * Required
First Last
Name of employee conducting the surplus equipment process
Employee Email * Required
Department Director's Email * Required
Item #1: Item, amount/number, original use, estimated total value based off Craigslist (e.g. 3 chairs from City Manager's Office, $40) * Required
Please upload a picture
Max. file size: 25 MB.
Item #1 Destination * Required
Where did the item(s) go
Note: if you are someone who is required to file Form 700, you may have gift reporting responsibilities
- I understand
Item #2: Item, amount/number, original use, estimated total value based off Craigslist (e.g. 3 chairs from City Manager's Office, $40)
Please upload a picture
Max. file size: 25 MB.
Item #2 Destination
Where did the item(s) go
Note: if you are someone who is required to file Form 700, you may have gift reporting responsibilities
- I understand
Item #3: Item, amount/number, original use, estimated total value based off Craigslist (e.g. 3 chairs from City Manager's Office, $40)
Please upload a picture
Max. file size: 25 MB.
Item #3 Destination
Where did the item(s) go
Note: if you are someone who is required to file Form 700, you may have gift reporting responsibilities
- I understand
Item #4: Item, amount/number, original use, estimated total value based off Craigslist (e.g. 3 chairs from City Manager's Office, $40)
Please upload a picture
Max. file size: 25 MB.
Item #4 Destination
Where did the item(s) go
Note: if you are someone who is required to file Form 700, you may have gift reporting responsibilities
- I understand

Please fill out this form to indicate the end-destination for each surplus equipment item