Information Technology

 
 

INFORMATION TECHNOLOGY - PROPERTY MANAGEMENT

PRP-2 REQUEST FOR AUTHORITY TO REMOVE EQUIPMENT FROM CAMPUS

Personal Information

First Name
Last Name
Preferred Email Address
Employee ID
Employee Mail Code
Employee Phone

Equipment Information

(Please enter one item, you will be given the opportunity to add additional items on the next page)

Model
Serial Number
Service Tag
UH Tag
Condition
Manufacturer

I certify and designate the equipment listed is:

OFF-CAMPUS:  located and used exclusively at the below listed address. Not intended to be transported to any other location except to return it to the UH campus when no longer in use.

MOVABLE: Will routinely accompany me to and from my office or residence to meetings and other locations on and off campus. This may include returning to my residence with said equipment.

Off Campus Address
Comments

Click the below button you are:

I request authority to remove University of Houston System property for purposes of performing official business of the University relating to my duties as an employee. I understand that if I will be taking this equipment outside the United States, I should contact the Information Security Officer for my College, Division, or Department, as additional restrictions and regulations may apply.  I understand that I assume financial  responsibility for loss or damage to this (these) item(s) if the loss or damage results from my negligence, intentional act, or failure to exercise reasonable care, safeguard, maintain and service it (them).  If reimbursement is not made, the State Attorney General may take legal action to recover the value of the property.  Any alteration to this form will void any request to remove equipment.