Returning GSU Property

To Notify When Returning GSU Property To Campus

Date:
To:	Insurance Coordinator, Safety and Risk Management

	Name:
From:	Email Address:
	Department:
	Phone Extension

Listed below is equipment which was temporarily used off campus by an employee of Georgia State University for the benefit of the State or which was moved within or outside a university building. Please remove these items from the Transient State Property Blanket Insurance Policy.

Description of Equipment	GSU or Serial Number	Date Returned

Returning GSU Property

To Notify When Returning GSU Property To Campus

SAFETY NET