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Institutional Finance & Administration
KUMC  :  Institutional Finance & Administration  :  Payroll  :  Property/Equipment Recovery Authorization

The University of Kansas Medical Center
Payroll Property/Equipment Recovery Authorization Form


Red fields are required (form will not be sent if information is not entered in these fields).


Employee ID:

Employee Name:

Employee Department Number:

Employee Supervisor:

Employee Department Head:

Type of Recovery:

    Transfer to a new department
    Separation of employment
    Requested Return of Property/Equipment

Date Property/Equipment Recovery Requested:


Equipment not returned:


Value (do not use commas)

Total Value: