ASMA – Report of Survey
Government of the U.S. Virgin Islands of REPORT OF SURVEY Location of Property: TO: Board of Survey Item No. Asset ID No. Funding Source **Dispo- sition * Condition should be coded as follows (e.g., N1, O3, R2, etc.); 1 Not needed (dispose of in accordance w/ applicable reg.) N New 1 Excellent 2 Destruction E Used 2 Good 3 Abandonment O Used (usable without repairs) 3 Fair 4 Donation to Public Bodies R Used (repairs required) 4 Poor 5 Sale X No longer useful as originally intended 6 Repairs (indicate needs) 7 Salvage usable parts and sell remainder as scrap 8 Reduce to scrap Survey Member (Print Name & Sign) Survey Member (Print Name & Sign) Survey Member (Print Name & Sign) Date *Condition Agency Head (Print Name & Sign) Account Code Est. Value Accountable Officer (Print Name & Sign) Date Page Date Report No. Survey Officer Federal/Local Funding **Disposition Codes Department/Agency/Bureau: You are requested to survey the items(s) listed below. Report on the present condition of the item(s) with recommendations as to disposition. …
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Government of the U.S. Virgin Islands of REPORT OF SURVEY Location of Property: TO: Board of Survey Item No. Asset ID No. Funding Source **Dispo- sition * Condition should be coded as follows (e.g., N1, O3, R2, etc.); 1 Not needed (dispose of in accordance w/ applicable reg.) N New 1 Excellent 2 Destruction E Used 2 Good 3 Abandonment O Used (usable without repairs) 3 Fair 4 Donation to Public Bodies R Used (repairs required) 4 Poor 5 Sale X No longer useful as originally intended 6 Repairs (indicate needs) 7 Salvage usable parts and sell remainder as scrap 8 Reduce to scrap Survey Member (Print Name & Sign) Survey Member (Print Name & Sign) Survey Member (Print Name & Sign) Date *Condition Agency Head (Print Name & Sign) Account Code Est. Value Accountable Officer (Print Name & Sign) Date Page Date Report No. Survey Officer Federal/Local Funding **Disposition Codes Department/Agency/Bureau: You are requested to survey the items(s) listed below. Report on the present condition of the item(s) with recommendations as to disposition. All findings and recommendations regarding personal liability for loss, theft or damage must be reported. Description (Make, Model, SN, Color, etc.) Original Cost ROS Type: ▢Regular ▢Fire ▢Natural Disaster DR#__________ i.e.Earthquake,Flood,Hurricane,Tsunami,etc. Form # DPP-ASMA-001-2024 Approved 4-15-2024 Report # Page of Item No. Asset ID No. Funding Source *Cond- ition Est. Value **Dispo- sition * Condition should be coded as follows (e.g., N1, O3, R2, etc.); 1 Unneeded (dispose of in accordance w/ applicable reg.) N New 1 Excellent 2 Destruction E Used 2 Good 3 Abandonment O Used (usable without repairs) 3 Fair 4 Donation to Public bodies R Used (repairs required) 4 Poor 5 Sale X No longer useful as originally intended 6 Repairs (indicate needs) 7 Salvage usable parts and sell remainder as scrap 8 Reduce to scrap **Disposition Codes Description Original Cost Federal/Local Funding Account Code Form # DPP-ASMA-001-2024 Approved 4-15-2024 Report # Page of Item No. Asset ID No. Funding Source *Cond- ition Est. Value **Dispo- sition * Condition should be coded as follows (e.g., N1, O3, R2, etc.); 1 Unneeded (dispose of in accordance w/ applicable reg.) N New 1 Excellent 2 Destruction E Used 2 Good 3 Abandonment O Used (usable without repairs) 3 Fair 4 Donation to Public bodies R Used (repairs required) 4 Poor 5 Sale X No longer useful as originally intended 6 Repairs (indicate needs) 7 Salvage usable parts and sell remainder as scrap 8 Reduce to scrap **Disposition Codes Description Original Cost Federal/Local Funding Account Code Form # DPP-ASMA-001-2024 Approved 4-15-2024 Page of Property Inspector's Findings & Recommendation: Property Management's Recommendation (if none, so state): Approved Confirmation of Disposition I CERTIFY that the property listed hereon has been disposed of in the following manner: Conclusion of Disposition I CERTIFY that this form has been completed in accordance with applicable rules and regulations. Date Report # Photo Attached (MANDATORY) Certificate of Disposition FOR P&P USE ONLY This is to certify that the property listed hereon has been inspected by the undersigned and its condition and present estimated value are as shown. The findings listed below substantiate the recommended disposition set out on the face of this form. This is to certify that the circumstances surrounding loss, theft, or damage of the property listed hereon have been investigated by the undersigned and the findings and recommendations are listed below. Date Date Print & Sign Signature Date Print & Sign Date Property Inspector Title Commissioner, DPP Disapproved Reviewing Authority's Action: Director, DPP Title Title Title Comments: Date Form # DPP-ASMA-001-2024 Approved 4-15-2024 SIGN