STATE OF NEW MEXICO DEPARTMENT OF LABOR PROPERTY FORM

(ACQUISITION, TRANSFER, AND DISPOSITION)

TO: PROPERTY CONTROL SECTION GENERAL SERVICES BUREAU FROM:
(NAME OF REPORTING COST CENTER)

DATE:

ACQUISITION OF NEW PROPERTY (DIRECT SHIPMENT – P.O. # 631RECEIPT OF PROPERTY TO COST CENTER: SURPLUS/WAREHOUSE DONATED PROPERTY TO: OTHER (PLEASE SPECIFY): VIA:
(TRANSPORTER)

QUANITY

NMDOL TAG NUMBER

DESCRIPTION

SERIAL NUMBER

CONDITION CODE*

CONDITION CODES F= FAIR G= GOOD O= OBSOLETE R= REPAIRABLE S= SERVICEABLE U= UNSERVICEABLE

RECEIVED BY:

(SIGNATURE OF RECEIVER) (PRINT NAME) (TITLE AND COST CENTER NUMBER ) (DATE OF TRANSFER)

ORIGINAL – PROPERTY CONTROL SECTIONYELLOW COPY-TRANSFEROR NMDOL/ASD/GSB/FORM 1 (04/98) PREVIOUS FORM OBSOLETE

PINK COPY=TRANSFEREE

STATE OF NEW MEXICO DEPARTMENT OF LABOR

Instructions for Completion of Property Form (NMDOL/ASD/GSB/Form 1) FROM- Use this block to indicate what cost center is reporting change. Acquisition of New Property- Use this block when the cost center receives property already tagged from warehouse/stockroom. Transfer of Property to Cost Center- Use this block when transferring property from one cost center to another. Specify to what cost center is receiving the property. Via- Use this block when you are receiving property for another cost center (you are not assigned to the receiving cost center). Cost center who is receiving property will sign at the received by portion. Surplus/warehouse- Use this block when property is approved for donation to other state agencies. Other- Use this block if none of the above apply especially for temporary transfers such as, property repairs, property loss/damage, property on loan (short period only), property returned to vendor, property trade-ins, and property at employee’s home/out of cost center. The yellow copy goes to Risk Management for any loss/damaged property. Quantity- Use this block to identify the unit(s) of property being transferred/received. NMDOL Tag Number- Use this block to identify NMDOL property control number assigned to property. Description- Use this block to identify what item(s) are being transferred/received by cost center. Serial Number (as you read it on property)- Use this block to identify the property with assigned serial number by the manufacturer. Condition code- Use this block to identify the condition of the property at time of transfer.
F= FAIR G= GOOD O= OBSOLETE R= REPAIRABLE S= SERVICEABLE U= UNSERVICEABLE

Received By (signature, title, and date blocks)- must be signed by the receiver for all property being received by cost center managers or authorized personnel. Distribution: Original sent to NMDOL/GSB Property Control Section for all transfers. Transferor (giver) retains the yellow copy on file (for inventory adjustment verification). Transferee (receiver) retains the pink copy on receipt of property (for inventory adjustment verification). When applicable, transporter will sign the VIA Block, cost center manager will retain copy when releasing property to transporter. Transporter will transport property to cost center and submit original Property Form to Property Control Section for processing.