Corporate Fixed Asset Disposal & Decommissioning Authorization Form

Asset Tag Number

Manufacturer Serial Number

Asset Description & Technical Specifications

Asset Category

Original Acquisition Date

Original Capitalized Cost

Depreciation Method

Useful Life (Years)

Accumulated Depreciation to Date

Current Net Book Value (NBV)

Asset Location (Site/Building/Room)

Department & Cost Center Code

Current Asset Custodian (Name & Employee ID)

Last Physical Verification Date

Is this asset part of a composite/group asset registration?

Provide parent asset tag and allocation percentage:

Does this asset have capitalized improvement costs separate from original cost?

List improvement asset tags and amounts:

Overall Physical Condition Rating

Detailed Condition Assessment & Defects

Primary Disposal Rationale (select all applicable)

Describe technological advancement that rendered asset obsolete:

Detail cause, date, and extent of damage:

Specify regulation standard and non-conformance details:

Explain alternative rationale:

Are complete maintenance and repair records available for review?

Explain record gap and provide summary of known maintenance:

Date of Last Major Service or Repair

Estimated Cost to Restore to Operational Condition (if applicable)

Estimated Remaining Useful Life if Retained (months)

Has an independent third-party condition assessment been performed?

Assessor Company & Report Reference Number:

Upload Photographic Evidence (minimum 3 angles plus serial number plate)

Verified Current Net Book Value (NBV) from GL

Proposed Disposal Method

Provide buyer company name, contact, and commercial terms:

Provide vendor name and trade-in credit details:

Provide charity name, tax exemption status, and donation valuation:

Provide employee name, ID, and approved sale price:

Estimated Gross Salvage/Sale Proceeds

Estimated Disposal Costs (dismantling, shipping, commissions)

Net Disposal Proceeds (Auto-Calculated)

Projected Gain/(Loss) on Disposal

Market Valuation Assessment Date

Valuation Method Used

Does projected gain/loss exceed corporate materiality threshold?

Explain threshold amount and approval obtained:

Have tax implications (VAT, capital gains, donation credits) been reviewed with Tax Department?

Explain pending tax review items:

Disposal Options Comparison Matrix (if multiple avenues explored)

Does this asset contain any hazardous materials or substances?

Select all hazardous material categories present

Specify other hazardous material and concentration:

Are Safety Data Sheets (SDS/MSDS) available for all hazardous components?

Explain SDS gap and risk mitigation:

Will a certified hazardous waste disposal vendor be utilized?

Vendor Name & Environmental Certification Number:

Explain internal disposal capability and regulatory compliance:

Does this asset contain data storage media or processing components?

Data Sanitization Method Applied

Data Sanitization Standard Followed

Upload Data Sanitization Certificate or Destruction Evidence

Has IT Security department reviewed and approved the sanitization approach?

Document pending IT Security review items:

Environmental Health & Safety Officer Approval

Disposal Requestor Name

Requestor Job Title

Disposal Request Date

Department Head Approval Obtained

Department Head Name & Approval Reference:

Explain pending department approval:

Enterprise Asset Manager Review Completed

Asset Manager Name & Review Timestamp:

Document Asset Manager concerns or pending items:

Corporate Controller Financial Approval Granted

Controller Name & Approval Code:

Explain Controller reservations or conditions:

Final Disposal Authorization Number

Authorized Disposal Execution Date

Is post-disposal physical verification and documentation required?

Assigned Verifier Name & Verification Due Date:

Corporate Controller Digital Signature

Enterprise Asset Manager Digital Signature

Final Disposal Instructions & Special Conditions