1st Equipment Type [SELECT] Computer Monitor Printer Telephone Fax Scanner TypeWriter KeyBoard Mouse Cables Power Strip Toner Software Speakers OTHER                 Make (HP, ViewSonic, etc.)     Model

                              If OTHER, specify here:   

                                          Asset Tag (CCC#):           Serial Number            

                                         Current Location             New Location (if applicable)

                                                                                           Check here if you want to have this item removed for Disposal (IT will evaluate)

2nd Equipment Type [SELECT] Computer Monitor Printer Telephone Fax Scanner TypeWriter KeyBoard Mouse Cables Power Strip Toner Software Speakers OTHER                 Make (HP, ViewSonic, etc.)     Model

                              If OTHER, specify here:   

                                          Asset Tag (CCC#):           Serial Number            

                                         Current Location             New Location (if applicable)

                                                                                            Check here if you want to have this item removed for Disposal (IT will evaluate)

3rd Equipment Type [SELECT] Computer Monitor Printer Telephone Fax Scanner TypeWriter KeyBoard Mouse Cables Power Strip Toner Software Speakers OTHER                 Make (HP, ViewSonic, etc.)     Model

                              If OTHER, specify here:   

                                          Asset Tag (CCC#):           Serial Number            

                                         Current Location             New Location (if applicable)

                                                                                            Check here if you want to have this item removed for Disposal (IT will evaluate)

4th Equipment Type [SELECT] Computer Monitor Printer Telephone Fax Scanner TypeWriter KeyBoard Mouse Cables Power Strip Toner Software Speakers OTHER                 Make (HP, ViewSonic, etc.)     Model

                              If OTHER, specify here:   

                                          Asset Tag (CCC#):           Serial Number            

                                         Current Location             New Location (if applicable)

                                                                                            Check here if you want to have this item removed for Disposal (IT will evaluate)

5th Equipment Type [SELECT] Computer Monitor Printer Telephone Fax Scanner TypeWriter KeyBoard Mouse Cables Power Strip Toner Software Speakers OTHER                 Make (HP, ViewSonic, etc.)     Model

                              If OTHER, specify here:   

                                          Asset Tag (CCC#):           Serial Number            

                                         Current Location             New Location (if applicable)

                                                                                            Check here if you want to have this item removed for Disposal (IT will evaluate)

6th Equipment Type [SELECT] Computer Monitor Printer Telephone Fax Scanner TypeWriter KeyBoard Mouse Cables Power Strip Toner Software Speakers OTHER                 Make (HP, ViewSonic, etc.)     Model

                              If OTHER, specify here:   

                                          Asset Tag (CCC#):           Serial Number            

                                         Current Location             New Location (if applicable)

                                                                                            Check here if you want to have this item removed for Disposal (IT will evaluate)

If you have more than six (6) items or multiple people to be moved, download our Mass Move spreadsheet HERE and send it to
OHC-Helpdesk@ccc.edu.

You may also press SUBMIT FORM below , and then fill out an additonal online form.

Please PRINT this page now for your own records. You then must press Submit Form.