Capital Asset Request Form 253
Capital Asset Request Form 253
Request Date: Month, Day, Year Type of Request: Add Removal Other
Department Head or Authorized Agent (Print Name) Department Head or Authorized Agent (Print Name)
Department Head or Authorized Agent Signature Department Head or Authorized Agent Signature
REQUEST TYPES
ADD = Examples: Donation, Internally generated software, Acquisition using non-capital expenditure account, Acquisition via sale between Oracle funds, etc.
• A donation requires copy of Board Letter, calculation of value at date of acceptance, and acceptance letter
• Internally generated software requires copy of Intangible Asset Project Cost Summary by Task Report
• Acquisition by non-capital expenditure account or acquisition via sale between Oracle Funds requires copy of DART-Transfer and support documents
REMOVAL = Examples: Sold via auction, Salvaged, or Other disposal (i.e. swap/exchange or donation to other local agencies, unsighted or stolen property, trade-in)
• Sold assets require copy of DART-Transfer, auction statement and other supporting documents
OTHER = Examples: Replacement tag, update asset’s ___location code, asset’s description and/or serial number, loan/return of property, etc.
RECEIVING Department must complete the following if capital asset is transferred from one department to another:
• Receiving Department – name of receiving department
• Receive Date – date when receiving department received the capital asset.
Both REQUESTING and RECEIVING department must agree with asset information provided on the form.
AUDITOR and CONTROLLER USE ONLY = leave blank for Auditor and Controller staff to complete