Asset Disposition Form

SETRAC Asset Disposition Form
Name of Requestor

First NameLast Name
Title of Requestor*
E-mail*
-Name of Facility*
TSA Region*

Assets*

	Inventory #	Description	Serial Number	Purchase Date	Life Expectancy	Price	Reason for Disposition (select from below)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Reason for Disposition of Assets
1. Item has an expiration date and it has past
2. Item is non functioning and it is not reasonable to have it repaired
3. Item is no longer usable (outdated)
4. Item was stolen (please attach a police report)
5. Other (please specify below)
Other 1
Other 2
ITEMS ARE NOT TO BE DISPOSED OF WITHOUT EMAIL OF APPROVAL FROM SETRAC
Should be Empty: