Surplus Submission

This form is for the use of Environmental Health & Public Safety and associated divisions within.

Submit a request for item to be surplused

Name(Required)

First Last

Email(Required)

Date(Required)

How many of this Item(Required)

Please enter a number from 1 to 100.

Description of item(Required)

Condition of Item(Required)

Serial Number(Required)

Enter N/A if none found

CAMS Number(Required)

Enter N/A if none found.

Current location of item (Building and Room number)(Required)

Please list a location surplus can located to pick up this item

More information or Comments

Name

This field is for validation purposes and should be left unchanged.