Form #MM_______

STORAGE REQUEST FORM

This is to request that the following Texas State property be stored by the Materials Management Department. 

Note:  Storage of personal property is prohibited.

[  ] Temporary  From ___________________  To  _____________________. 

[  ] Permanent

Reason for Property Storage:  _____________________________________

_____________________________________________________________________

_____________________________________________________________________

  Qty. / Inv. No.                                            Property Description

______________                    _____________________________________________

______________                    _____________________________________________

______________                    _____________________________________________

______________                    _____________________________________________

______________                    _____________________________________________

______________                    _____________________________________________

______________                    _____________________________________________

                                                                                    ___________________________

                                                                                                Department Name

                                                                                    ___________________________

                                                                                   Requester’s Name (Print) / Date

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[  ] Approved

[  ] Disapproved

Justification for disapproval:  ______________________________________ _____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

___________________________

Materials Mgt. Signature / Date