Finance AM Disposal Request

Capital Equipment - DISPOSAL REQUEST

Disposal Request Status*

AM Tracking Number

Date Request Approved by AM

Request Pickup Process

Date AM Contacted Requester for Pickup

Date AM Pick-up Completed

EMS Tracking Number

Asset Management Email

AM email address required for confirmation emails.

AM Comments

Additional Approval Required

Date Sent to Approver

Date Received Approval

Date Sent to OGC

Date OGC Review Completed

EHS Review Required

Date Sent to EHS

Date EHS Review Completed

Qty Scientific Items

Qty IT Hardware Items

Qty Electronic Items

Qty Office Items

Qty Vehicle

Qty Other

For questions contact Asset Management

Form Instructions

PLEASE READ ALL INSTRUCTIONS BEFORE PROCEEDING

To dispose of University of Colorado Denver|Anschutz Medical Campus items:

1) Submission through EMS Web App.

-For furniture, non-capital (<$5,000) computer hardware, and non-capital (<$5,000) lab/medical equipment.

2) Submission through this Formstack Form.

-For all capital (>=$5,000) items and vehicles.

NOTE: SUBMISSIONS SENT ON THE WRONG FORM WILL BE RETURNED TO THE REQUESTER FOR RE-SUBMISSION.

Are the items you wish to dispose of UCD property?*

Yes No Unknown

UCD is not authorized to dispose of items owned by CU Medicine, UC Health, Children's Hospital Colorado, or the VA Eastern Colorado Health Care System even if used in a UCD setting. Please exit this form and contact that organization for disposal of their items.

DO NOT SUBMIT THE FORMSTACK FORM

Confirm that the item(s) you wish to dispose of are UCD property. UCD is not authorized to dispose of items owned by CU Medicine, UC Health, Children's Hospital Colorado, or the VA Eastern Colorado Health Care System even if used in a UCD setting. Contact that organization for disposal of their item(s).

Please exit this form and return after you've confirmed that the item(s) you wish to dispose of are UCD property.

DO NOT SUBMIT THE FORMSTACK FORM

Type of Items for Disposal*

Furniture, non-capital (<$5,000) computer hardware, or non-capital (<$5,000) lab/medical equipment Capital (>=$5,000) items or vehicles

Based on your selections you will use the EMS Web App located at https://schedule.ucdenver.edu/emswebapp to dispose of your items. This process is specifically designed to FastTrack disposal of furniture, non-capital (<$5,000) computer hardware, and non-capital (<$5,000) lab/medical equipment. Please exit the form.

DO NOT SUBMIT THE FORMSTACK FORM

Based on your selections you will use this Formstack form to enter your disposal request.

INSTRUCTIONS:

All fields with a red asterisk are required and must be completed.
Additional approval for the request IS NOT required if you, the requester, ARE in a fiscal role within the department; answer ‘No’ to the ‘Is Additional Approval Required’ question in the Requester Information area.
If you ARE NOT in a fiscal role answer ‘Yes’ to the 'Is Additional Approval Required' question then enter the approver information in the blocks provided. Asset Management will contact that individual to obtain approval for the request.
Enter the information of the item you wish to dispose of in the Item Information block.
Select ‘Yes’ to the question at the bottom left of the block to make an additional block appear for up to 10 entries.
Submit additional request(s) if you have more then 10 items to dispose of.

When you've completed entry of the item(s) select Submit Completed Form at the bottom to send your request to Asset Management.

Requester Information

Date*

Prefilled with current date.

Requester Name*

Please enter your first and last name.

University Email*

Please enter your university email address.

Phone Number*

Please enter your work phone number.

Title*

Please enter your position title.

Office Location: Building/Room Number*

Please enter the building and room number where your office is located.

Department*

Please enter your department name.

Special Instructions

If you are in a Fiscal Role for the department (e.g., any level of Director or Dean, Fiscal or Grant Manager, Administrator, PI or similar role) additional approval is not required for this request. Select the No radio button to the right and continue with your request.

If you are not in a fiscal role select the Yes radio button and enter the name, email address, and title of the approver in the fields that will appear below then continue with your request. Asset Management will contact the them to obtain their approval for this disposal request.

Is Additional Approval Required?*

No Yes

Additional approval is required if the Requester is not in a Fiscal role.

Additional Approver

Name of Approver*

Please enter approver's first and last name.

Approver Email*

Please enter the approver's email address.

Approver Title*

Please enter the position title of the approver.

Additional Information

Does any item exceed 50 pounds?*

Yes No

A selection is required, if in doubt please select Yes.

Is any item bulky?*

Yes No

A selection is required. Bulky is something that would require two people to pickup or needs equipment to move.

There may be a charge by Facilities for pickups. Please enter a speedtype for this charge.*

A speedtype must be entered.

Does any item contain or has it been exposed to hazardous materials?*

Yes No

A selection is required. You must answer Yes if your request lists any item used in a patient or lab setting.

Item 1 Information

Manufacturer*

Description and Model Number*

Serial Number*

If item doesn't have a serial number enter 'None'

Building Name*

Building where item is located

Room Number*

Room where item is located

UCD Tag Number*

Condition*

Servicable Repairable Unservicable

Make selection from list for the condition of item being disposed.

Item Type*

Capital (>=$5,000) items Vehicle

Make selection from list for the type of item being disposed.

Hazardous Type*

None Biological Chemical Radioactive

Make selection from list if the item contains or was exposed to hazardous materials or select None if not applicable.

Item 2 Information

Manufacturer*

Description and Model Number*

Serial Number*

If item doesn't have a serial number enter 'None'

Building Name*

Building where item is located

Room Number*

Room where item is located

UCD Tag Number*

If item doesn't have a UCD tag number enter 'None'

Item 3 Information

Manufacturer*

Description and Model Number*

Serial Number*

If item doesn't have a serial number enter 'None'

Building Name*

Building where item is located

Room Number*

Room where item is located

UCD Tag Number*

If item doesn't have a UCD tag number enter 'None'

Item 4 Information

Manufacturer*

Description and Model Number*

Serial Number*

If item doesn't have a serial number enter 'None'

Building Name*

Building where item is located

Room Number*

Room where item is located

UCD Tag Number*

If item doesn't have a UCD tag number enter 'None'

Item 5 Information

Manufacturer*

Description and Model Number*

Serial Number*

If item doesn't have a serial number enter 'None'

Building Name*

Building where item is located

Room Number*

Room where item is located

UCD Tag Number*

If item doesn't have a UCD tag number enter 'None'

Item 6 Information

Manufacturer*

Description and Model Number*

Serial Number*

If item doesn't have a serial number enter 'None'

Building Name*

Building where item is located

Room Number*

Room where item is located

UCD Tag Number*

If item doesn't have a UCD tag number enter 'None'

Item 7 Information

Manufacturer*

Description and Model Number*

Serial Number*

If item doesn't have a serial number enter 'None'

Building Name*

Building where item is located

Room Number*

Room where item is located

UCD Tag Number*

If item doesn't have a UCD tag number enter 'None'

Item 8 Information

Manufacturer*

Description and Model Number*

Serial Number*

If item doesn't have a serial number enter 'None'

Building Name*

Building where item is located

Room Number*

Room where item is located

UCD Tag Number*

If item doesn't have a UCD tag number enter 'None'

Item 9 Information

Manufacturer*

Description and Model Number*

Serial Number*

If item doesn't have a serial number enter 'None'

Building Name*

Building where item is located

Room Number*

Room where item is located

UCD Tag Number*

If item doesn't have a UCD tag number enter 'None'

Item 10 Information

Manufacturer*

Description and Model Number*

Serial Number*

If item doesn't have a serial number enter 'None'

Building Name*

Building where item is located

Room Number*

Room where item is located

UCD Tag Number*

If item doesn't have a UCD tag number enter 'None'