Form CNTR 008

Fixed Asset Action Request Form

Summary Page Location No. ________ Location Name ______________________

Check all applicable boxes and complete required information by Tab

Request to Add Assets

Request to Remove Assets from Fixed Asset Inventory

Request to Change Fixed Asset Information

Request for Fixed Asset/Equipment Labels

Request to Transfer Asset to Different Location or Agency

Complete all required information related to the fixed asset action being requested and obtain all required signatures and approvals.
Send completed Fixed Asset Action Requests to the Fixed Asset Unit in the Controller's Office.

Scan documents and send via email:

DPS_Fixedassets@ncdps.gov
or
Fax or Mail documents to:
NOTE: Only submit Fixed Asset Action Requests to the
Controller's Office once. Resending information will create
duplications.

NC Department of Public Safety

Controller's Office - Fixed Asset Unit
2020 Yonkers Road, MSC 4220
Raleigh, NC 27699-4220 Accounting Use Only
 By: _____________________
Fax No. 919-324-6242 Date: ____________________
Form CNTR 008
Fixed Asset Action Request Form
Request to Add Assets Location No. ____________ Location Name __________________

Asset Number Serial Number Description Model Manufacturer

Approval Signature: ______________________

Accounting Use Only Approvers Name Typed/Printed: _______________________________________

By: ____________________
Date: __________________
 Location Name ___________________

Need
Equipment
Purchase Order Number Tag?

Date: ____________________

_____________________________________
Form CNTR 008
Fixed Asset Action Request Form
Request to Remove Assets Location No. __________ Location Name ______________________

Location Change/
Asset Number Serial Number Description Model Manufacturer Transfer (a) Surplus (b)
(a) Complete the Transfer Tab information for all Asset/Equipment Transfers
(b) Provide Surplus request letter with appropriate approvals
(c) Provide Junk request letter - two signatures required, including Section/Location Head
(d) Provide a completed CNTR 013 - Missing/Stolen Asset Form

Accounting Use Only

By: ____________________ Approval Signature: ______________________________________
Date: __________________
Approvers Name Typed/Printed: _________________________________________
_____________________________

Scrap (see Missing/

Junk (c) policy) Stolen (d)
 Date: __________________

____________________
Form CNTR 008
Fixed Asset Action Request Form
Request to Correct Asset Information Location No. _________Location Name ___________________________

Asset Description and Requested Information Change

(i.e. Model/Serial No., Manufacturer and Asset Information to be Corrected - Current
Asset Number Description) (Old) Corrected Information (New)
* Complete Tab to Request New Asset/Equipment Tag

Accounting Use Only

By: ____________________ Approval Signature: ____________________________________
Date: __________________
Approvers Name Typed/Printed: _________________________________________
_______________________

Need
Equipment
d Information (New) Tag*
 Date: _______________

______________________
Form CNTR 008
Fixed Asset Action Request Form
Request for Asset/Equipment Labels Location No. _________Location Name ___________________________

Asset Number Asset Description Serial Number Model

Accounting Use Only
By: ____________________ Approval Signature __________ ____________________ Date ____________________
Date: __________________
Approvers Name Typed/Printed: _________________________________________
_________________________

Manufacturer
 Date _____________________

_________________________
Form CNTR 008
Fixed Asset Action Request Form
Request for Fixed Asset Transfer Location No. __________ Location Name _________________________

( ) State Surplus approval for external transfers attached - External transfers will not be granted without
State Surplus approval unless mandated by legislative directive.

Assets to be transferred: ( ) Internal (within DPS) ( ) External (other State Agency)**

From To
**Only for External
Description (including serial Location/ Location/ Transfers
Asset Number #, etc.) Building Room Building Room State Department Cost
Accounting Use Only
By: ____________________ Approval Signature _______________ ____________________
Date: __________________ (Section/Location Head)
Approvers Name Typed/Printed: _________________________________________
_______________________

will not be granted without

Accumulated
Depreciation Book Value
 Date _____________________

_______________