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2. Asset Tag No.
3. Asset Description*
5. Reason for Transfer*
9. TRANSFER FROM
11. Department*
12. Department No.
13. Location
15. Asset Custodian Name*
16. Phone No.
17. Transfer Date
    Transfer Date
21. TRANSFER TO
23. Department*
24. Department No.
25. Location
27. Receiver Name*
28. Phone No.
29. Date Received*
    Date Received
Leave This Blank:


31. Submit

* indicates a required field