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2. Surplus Declaration Form
   Please complete the form below. Please fill out more than one description section if declaring multiple items.
4. Today's Date*
   Today's Date
5. Department *
6. Contact Name*
7. Contact Phone Number*
9. Total Number of Items*
   Total number of items being declared. A breakdown of each item is below.
11. Description of Item 1*
    Please describe item being declared for surplus including material, number of drawers, etc.
12. Condition*
    -- Select One --ExcellentGoodFair
13. Quantity*
15. Description of Item 2
    Please describe item being declared for surplus including material, number of drawers, etc.
16. Condition
    -- Select One --ExcellentGoodFair
17. Quantity
19. Description of Item 3
    Please describe item being declared for surplus including material, number of drawers, etc.
20. Condition
    -- Select One --ExcellentGoodFair
21. Quantity
23. Description of Item 4
    Please describe item being declared for surplus including material, number of drawers, etc.
24. Condition
    -- Select One --ExcellentGoodFair
25. Quantity
27. Description of Item 5
    Please describe item being declared for surplus including material, number of drawers, etc.
28. Condition
    -- Select One --ExcellentGoodFair
29. Quantity
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field