the CUrb Submission Form - Procurement Services

Departmental Contact Information

Department listing item*

Department contact*

First Last

Email address*

Phone*

Department Head*

Name	Email

Please indicate your Department Head's name and email address and a copy of the submission will be sent for their approval

Description of Item

Provide a detailed description of the item that includes the make, model, and serial number*

Please select from the drop down menu below to enter the category of the item being submitted*

Has ITS removed all data from the item?*

Yes
No

Is this item hazardous?*

Yes
No

Has EHS reviewed the Decommissioning Form?*

Yes
No

Please provide supporting documentation the item has been cleared by EH&S

Drop files here or

Max. file size: 15 MB.

Weight and Dimensions of item*

Kilograms	Length	Width	Height

Condition of item*

Excellent: Perfect working condition with the original packaging. The item is like new (out of the box), unused, in mint condition, free of defects, and shows no signs of wear.
Very good: The item has seen limited use, has been well-cared for, and is in good working condition.
Good: The item shows wear from consistent use, but it remains in good condition and functions properly.
Fair: The item is fairly worn, still functions properly, but may have limited shelf life remaining.
For parts, or not working: The item does not function as intended and is not fully operational. This includes items that require service or repair, or missing essential components.

If an electronic item needs to be sent for recycling, please contact ITS Hardware Services at its.hardware.services@carleton.ca or ext: 4063

Upload photo(s) of the item you wish to list on the CUrb*

Accepted file types: jpg, gif, png, pdf, doc, docx, htm, html, Max. file size: 15 MB.

What was the original cost of this item?*

Price in $ CAD

Quantity of item*

Have you evaluated a fair market value for this item?*

When determining the asking price for an item, all reasonable attempts should be made to get a minimum of 50% of the Fair Market Value for the item

Please provide a brief description for how you attained a fair maket price

A reasonable attempt should be made to obtain 50% of the Fair Market Value of the item, unless otherwise approved by the Head of the Department

Is this item valued at less than $1000*

Yes
No

Is the item being given away free-of-charge?*

Yes
No

What is the minimum amount you will accept for the item?*

Please enter a number from 0 to 1000000.

Can item be stored in your office until its sold?*

Does the item need to be picked up?*

Yes
No

Please provide a contact for Procurement Services to arrange for the item to be picked up and placed into storage

Location of item*

Indicate the building and room number for where the item is located

FOAPAL for Funds to be allocated to*

Consent

I confirm this item is Carleton University owned property, and the department has no further use for this asset

I confirm the information included above to be true and correct, the department head has given authorization for this submission, and understand any discrepancies may result in the submission being rejected by Procurement Services

CAPTCHA