Equipment Disposal Form - Perkins (CA Dept of Education)

California Department of Education Career and College Transition Division Form Number VE-35 Revised September 2012 CAREER TECHNICAL EDUCATION INVENTORY EQUIPMENT DISPOSAL/REMOVAL FORM

Certification: I hereby certify that federal 34 CFR Section 80.32 and Education Code 35168 Return form to: CTE Administration and Management Office equipment-management regulations have been met and that the equipment listed is no longer California Department of Education used in the CTE programs/services for which it was purchased and request its removal from 1430 N Street, Suite 4202 the LEA equipment inventory. Sacramento, CA 95814 Telephone: 916-324-5706 LEA Name: LEA Address: CDE Approval by:

Printed Name of Authorized Representative: Title: Title:

Original Signature of Authorized Representative: Date: Date:

Trade–in Funding Acquisition Acquisition Equipment Description Equipment I.D. # Appraisal Reason for Removal Source Date Cost Value