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Surplus Property Division Customer Surplus Request
*
Name
(Required.)
*
Agency/Organization
Please list parent agency, if applicable. (Many organizations have agencies that have different names, such as individual prisons within the Department of Corrections or individual hospitals within a medical system.)
(Required.)
*
Preferred Contact Number or Direct Line
(Required.)
*
Email Address (should be same as used for AssetWorks)
(Required.)
Note: You may only submit one request per survey; however you are welcome to submit as many responses as needed.
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