Surplus Exchange Request Form

Items acquired from the Surplus Property Exchange are for programmatic-use only. Personal use is strictly prohibited.

Acquisitions become the property of the University department that claims them and must be disposed of in accordance with University and State rules pertaining to surplus property disposition.

All items are transferred AS-IS. Unless otherwise noted in the description, all items should be considered untested and functionality is not guaranteed.

Requestor Name*

Requestor Email*

Department*

MD Account Number (EX. MD12345)*

Item(s) you're requesting - Click + to add lines for additional listings*

Description	Item #	Fee Amount	Quantity (if applicable)

Delivery services are available for most items*

Deliveries will be made to the loading dock or ShopUW+ delivery area.

Please deliver (additional $10 service fee)
Will pick up from SWAP within 10 business days (free)

Building Name*

Address*

Additional Comments:

I understand that:*

All items acquired through the Surplus Property Exchange are for programmatic-use ONLY.

The department's MD account number will be charged for the full amount for each item plus delivery fee (if applicable).

Acquired items become the property of the department and must be disposed of in accordance with University and State rules when the items no longer serve a purpose.