Pick Up Request Form (PURF)

This form may only be used if the property being released is non-inventoried, and not for credit.

An Equipment Transfer Notice (stores stock no. 140-2492) must be submitted for all
inventoried items, and any items where a credit is requested.

Department Name:
Building:
Location:
Contact Name:
Phone Number:
Quantity: Description:
Quantity: Description:
Quantity: Description:
Quantity: Description:
Quantity: Description:
Quantity: Description:
Quantity: Description:
Quantity: Description:
Quantity: Description:
Quantity: Description:
Comments: