Capital Equipment Fabrication Request Form

This field is for validation purposes and should be left unchanged.

Requesting department name

Requesting department's cost center ID(Required)

Building

Room

Final destination of the equipment.

Equipment type(Required)

Select one.

Fabrication details

Fabrication name(Required)

Fabrication function

Estimated cost of fabrication(Required)

Estimated completion date of fabrication(Required)

Sponsor details

Sponsor funded?

Yes

Sponsor titled?

Yes

Sponsor name

Funding source information(Required)

If necessary, use the plus symbol to the right to add additional funding sources. Please make sure percentages add up to 100%.

Funding Source Worktag(s) (Gift/Grant/Program)

Funding Source Percentage (%)

Agreement and signatures

To the best of my knowledge, this equipment fabrication will result in a unique, special purpose, stand-alone piece of equipment. The total cost of material and supplies will be $5,000 or greater and will have a planned useful life of more than one year.

During the fabrication period, I will code fabrication costs to the equipment spend category and project ID provided by Property Control. Component parts will be attached to, or internal to the completed fabrication. Direct labor will be hands-on assembly labor and traceable to the equipment (e.g. Physical Sciences Lab). Direct labor will not include expenses such as design, salaries, or personnel expense, as these would be considered part of indirect costs.

When all costs have been paid and the fabrication is completed and placed into operation, I will contact Property Control so the equipment can be recorded for capitalization as an asset in the University accounting system.

Consent(Required)

I have read and agree to the outlined requirements.

Responsible employee's name(Required)

Responsible employee's email(Required)

Responsible employee's phone

Department Property Administrator's (DPA) name(Required)

DPA's email(Required)

DPA's phone