Form:                                                  Furnished Equipment Form – USNH 11 - 020F

Obtain Blank Forms From:              Form_11_020F_FurnishedEquipForm
or call USNH Property Control (862-3645)

Forward Completed Forms To:       USNH Financial Services
Property Control
Elizabeth DeMerritt House

Preparation of Furnished Equipment Form – USNH 11-020F

1.      Purpose of Form USNH 11-020F:  To provide information on items which are in the custody of USNH personnel, but not owned/used by USNH.  These items are tracked by USNH, but are not recorded by USNH or barcoded by USNH  Receipt of sponsored government furnished equipment should be reported to Property Control by the department receiving the equipment.  Furnished equipment is titled to the government and reports must be filed concerning government-owned equipment.

2.      Instructions for Completion of Furnished Equipment Form – USNH 11-020F 

Custodial Information:

      ·         Department:   The name of the department receiving the equipment.

      ·         Banner Org:  The Banner org associated with the department.

      ·         Date Received:  The date the equipment was received by the department.

      ·         Name of Furnishing Agency:  The name of the agency or institution the equipment was received from.

      ·         Banner Agency Code:  The Banner agency code associated with the furnishing agency.

      ·         Address:  The address of the agency or institution the equipment was received from.

      ·         Associated Grant Name:  The grant name associated with the equipment.

      ·         Banner Grant Code:  The Banner grant code associated with the equipment.

      ·         Responsible Person/Custodian:  The name of the person who is responsible for the location and the use of the equipment while it is at the University.

  ·         Last 4 digits of Custodian ID:  The last 4 digits of the Custodian’s SSN.

  ·         Location:  The building name, number, and room where the equipment will be housed while at the University.

3.      Information about the Equipment:

  ·         Description:  A clear description of the equipment.

  ·         Serial #:  The unique identification number which manufactures often assign to each piece of equipment.  This can usually be found of the piece of property.

  ·         Model#:  The manufacturer’s model number.

  ·         Manufacturer:  The name of the company or organization which produced the equipment.

  ·         Estimated Value:  Value given to the item by the provider.  If no value has been given, use an estimated value.

  ·         Estimated Age:  Approximate age of equipment in years.

  ·         Condition:  Condition of equipment.