BYRON-BERGEN CENTRAL SCHOOL

	
	Equipment/Furniture/Book Disposal Form

Complete the form below for approval to sell, transfer or dispose of equipment/materials. You must obtain approval from the building principal and the superintendent to sell, transfer or dispose of equipment/materials owned by Byron Bergen CSD.
Completed form must be turned into Vicky Shallenberger in the Business Office.

Authorization

PRINCIPAL AUTHORIZATION FOR DISPOSAL
		DATE
	
SUPERINTENDENT AUTHORIZATION FOR DISPOSAL
		DATE

	Contact Information

*Name	*Today's Date

*Department	Title

*E-mail	Phone
			
	Disposal Type

Sold	Donated

Scrapped	Transferred

Other	Missing

Equipment Disposal Date

New Location (If transferred)

Recipient & Price Paid (if sold, traded-in or donated)
			
	Reason if Missing

	Description of Equipment
		
*Tag #, if applicable
			*Description (Manufacturer, Model & Serial #)

				

*Required Field