Spreadsheet: 4c6f04ff-be6b-44da-979b-a2161d33b472
Sheet: Sheet1

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 |  |  | State of Oklahoma |  |  |  | Surplus Property Transfer
 |  |  | Office of Management and Enterprise Services
 |  |  | Division of Capital Assets Management
 |  |  | State Surplus
 | INSTRUCTIONS (THIS PROCESS MUST BE FOLLOWED !!!):
 | 1. | Upon completion of "FORM" and "LIST", save and send the file to: [EMAIL]
 | 2. | DCAM Staff will review the request and email this form back indicating a decision (Approved or Denied)
 | 3. | Agency MUST call State Surplus at (405) 525-2354 for disposal / delivery of all propertyapproved for surplus
 | 4. | Items will be verified against the approved form by the DCAM warehouse personnel at time of delivery
 | 5. | Any proceeds received by DCAM for disposal of property will be handled in accordance with 74 O.S. § 62.5
 |  | Agency:
 |  | Div./Dept.:
 |  | Authorized Officer:
 |  | Phone #: |  |  | City/County:
 |  | Date: |  | E-mail:
 |  | REQUIRED: By checking this box, you certify that your signature is on file with OMES-Central Purchasing Division as                       an employee of the agency named herein and authorized to surplus items for the agency.
 | Agencies may not dispose of surplus property without prior approval of DCAM.  It is the responsibility of the surplusing agency to: (1) delete these items from its inventory and notify DCAM Risk Management, if applicable, for deletion from insurance coverage; and, (2) maintain surplus records in accordance with 74 O.S.§ 62.1 et. seq.
 | A. The property listed on the following page(s) is surplus to the needs of this agency for the following reason(s)      (MUST check all that apply): |  |  |  |  |  |  |  |  | 1 | False
 |  |  |  |  |  |  |  |  |  |  | OMES Purchasing Director
 |  | No longer needed to perform the duties of the agency |  |  |  |  |  |  |  |  | DCAM Surplus Administrator
 |  | [NAME] and cost to repair is not economical
 |  | Obsolete and not compatible with newer equipment
 |  | Other (Explain):
 | [NAME] is requested for the following disposition of this surplus property      (MUST indicate recommended disposition):
 |  | Sell at public auction
 |  | Sell for scrap metal
 |  | Transfer to:
 |  | Trade-in
 |  | Disposal by DCAM Surplus Property with no remuneration to this agency.
 |  | Disposal by other means, which are deemed to be in the best interest of the state - Explain below:
 | C. Special surplus designation for computers:
 |  | Wipe hard drives and sale or donate to qualified program
 |  | Destroy hard drive due to sensitive nature of data previously stored on PC, e.g. SS#, DL#, DOB, etc.
 | *** APPROVAL AREA RESTRICTED ONLY FOR DCAM STAFF ***
 | CERTIFICATION |  | Approved | Denied | Date |  |  | SURPLUSED ITEMS:
 | DCAM Surplus Administrator |  |  |  |  |  | Value: | 0
 | - |  |  |  |  |  | Volume: | 0
 | Comments:
 |  | City Government (specify below under "Div./Dept" and/or "City/County")
 |  | County Government(specify below under "Div./Dept" and/or "City/County")
 |  | School District (specify below under "Div./Dept" and/or "City/County")
 |  | [NAME], Oklahoma (1337)
 |  | Abstractors Board, Oklahoma (22)
 |  | Accountancy Board, Oklahoma (20)
 |  | Aeronautics Commission, Oklahoma (60)
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 |  | Alcohol and Drug Counselors, Oklahoma State Board of Licensed (448)
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 |  | Building Bonds Commission (91)
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 |  | Cameron University (100)
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 |  | Capitol Complex and Centennial Commemoration Commission (7)
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 |  | Capitol-Medical Center Improvement and Zoning Commission (120)
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 |  | [NAME] (108)
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 |  | Commerce, Department of (160)
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 |  | Cosmetology Board (190)
 |  | Criminal Appeals, Court of (199)
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 |  | Development Finance Authority, Oklahoma (900)
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 |  | Fire Marshal, State (310)
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 |  | Funeral Board, Oklahoma (285)
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 |  | Governor (305)
 |  | Grand River Dam Authority (980)
 |  | Health Care Authority, Oklahoma (807)
 |  | Health Sciences Center, OU Prof. Prac. Plan (771)
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 |  | Historical Society, Oklahoma (350)
 |  | Homeland Security, Office of
 |  | Horse Racing Commission (353)
 |  | House of Representatives (422)
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 |  | Human Rights Commission, Oklahoma (355)
 |  | Human Services, Department of (830)
 |  | Indian Affairs Commission, Oklahoma (360)
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 |  | Industrial Finance Authority, Oklahoma (370)
 |  | Insurance Department, Oklahoma State (385)
 |  | Interstate Oil Compact Commission (307)
 |  | J.D. [NAME] (670)
 |  | [NAME] (204)
 |  | Judicial Complaints, Council on (678)
 |  | Juvenile Affairs, Office of (400)
 |  | LP Gas Research, Marketing and Safety Commission (444)
 |  | Labor, Department (405)
 |  | Land Office, Commissioners of the (410)
 |  | Langston University (420)
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 |  | Law Enforcement Retirement System, Oklahoma (416)
 |  | Legislative Service Bureau (423)
 |  | Libraries, Department of (430)
 |  | Lieutenant Governor (440)
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 |  | Long Term Care Administrators, Oklahoma State Board of Examiners for (509)
 |  | Lottery Commission, Oklahoma (435)
 |  | Management and Enterprise Services, Office of  (090)
 |  | Marginal Well Commission, Oklahoma (446)
 |  | Medical Licensure and Supervision, Board of (450)
 |  | Medicolegal Investigations, Board of (342)
 |  | Mental Health and Substance Abuse, Department of (452)
 |  | Merit Protection Commission, Oklahoma (298)
 |  | Military Department, Oklahoma (25)
 |  | Mines, Department of (125)
 |  | Motor Vehicle Commission, Oklahoma (475)
 |  | Multiple Injury Trust Fund (391)
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 |  | Murray State College (470)
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 |  | Optometry Board (520)
 |  | Osteopathic Examiners, State Board of (525)
 |  | Osteopathic Medicine, College - OSU (773)
 |  | Panhandle State University (530)
 |  | Pardon and Parole Board (306)
 |  | Peanut Commission, Oklahoma (535)
 |  | Perfusionists, Board of Examiners of (343)
 |  | Pharmacy Board, State (560)
 |  | Physician Manpower Training Commission (619)
 |  | Podiatric Medical Examiners, State Board of (140)
 |  | Police Pension and Retirement System (557)
 |  | Private [NAME], Board of (563)
 |  | Professional Engineers & Land Surveyors, State Board of Licensure for (570)
 |  | Psychologists Examiners, Board of (575)
 |  | Public Employees Relations Board (585)
 |  | Public Employees Retirement System, Oklahoma (515)
 |  | Public Safety, Department of (585)
 |  | Quartz Mountain Arts and Conference Center and Nature Park (620)
 |  | Real Estate Commission, Oklahoma (588)
 |  | Redlands Community College (241)
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 |  | Regents for Higher Education (605)
 |  | Regional University System of Oklahoma (610)
 |  | Rehabilitation Services, Department of (805)
 |  | Rogers State University (461)
 |  | Rose State College (531)
 |  | Scenic Rivers Commission (568)
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 |  | Secretary of State (625)
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 |  | Senate, Oklahoma State (421)
 |  | Sheep and Wool Commission, Oklahoma (631)
 |  | Social Workers, Registration Board for Licensed (622)
 |  | Sorghum Commission, Oklahoma (38)
 |  | Southeastern Oklahoma St. University (660)
 |  | Southwestern Oklahoma State University (665)
 |  | Space Industry Development Authority (346)
 |  | Speech-Language Pathology and Audiology Board (632)
 |  | State & Education Employees Group Insurance Board (516)
 |  | Student Loan Authority, Oklahoma (618)
 |  | Supreme Court (677)
 |  | Tax Commission, Oklahoma (695)
 |  | Teacher Preparation, Oklahoma Commission for (269)
 |  | Teachers Retirement System (715)
 |  | Tobacco Settlement Endowment Trust (92)
 |  | Tourism & Recreation Department, Oklahoma (566)
 |  | Transportation, Department of (345)
 |  | [NAME], Oklahoma State (740)
 |  | Tulsa Community College (750)
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 |  | University Center at Tulsa (774)
 |  | University Hospitals Authority and Trust (825)
 |  | University of Central Oklahoma (120)
 |  | University of Oklahoma (760)
 |  | University of Oklahoma Health Sciences Center (770)
 |  | University of Oklahoma Law Center (761)
 |  | University of Science & Arts of Oklahoma (150)
 |  | Used Motor Vehicle and Parts Commission (755)
 |  | Veterans Affairs, Oklahoma Department of (650)
 |  | Veterinary Medical Examiners, Board of (790)
 |  | Veterinary Medicine, OSU College of (14)
 |  | Water Resources Board (835)
 |  | Western Oklahoma State College (41)
 |  | Wheat Commission (875)
 |  | Wildlife Conservation (320)
 |  | [NAME] (880)
 |  | Workers Compensation Court (369)
 |  | OTHER (specify below under "Div../Dept")