Office or Laboratory Equipment, Furniture and Furnishings
(Examples: copy machine, desk, chair, file cabinet, refrigerator, bookcase, bulletin board, etc.)


PLEASE USE ONE CHECK SHEET FOR EACH ITEM (unless ordering more than one of the exact same item for delivery to the same location)

Please note: Furnishings and equipment should be delivered and installed in place by vendor.

If replacement, reason for replacement
Disposition of replaced item

(i.e., disposal, transfer, inventory)
Old asset tag number
Location of old

* Cal 133 (California Technical Bulletin 133) is the technical standard for flammability of furniture in public spaces

Approval by Facilities ___________________________

Director by Purchasing _____________________________