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:
[email protected]
NOTE: Only submit Fixed Asset Action Requests to the
or Controller's Office once. Resending information will create
duplications.
Fax or Mail documents to:
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 _____________________
_______________
