Date:
Item Description:
Asset Tag ID:
Contact Name:
Contact's Phone Number:
Contact's Email:
OLD Location		NEW Location
Building:		Building:
Room Number:		Room Number:
Floor Number:		Floor Number:
Additional Information:
Please enter the word you see: *
This form is NOT a work order request.  It is only for documentation of inventory location.  If you need assistance moving the asset, please contact the Physical Plant at 304-696-6680.