state letterhead

							                                                  (On State/Agency Letterhead)
                                                           City, State
                                                    Turn-in/Disposal Request
  SUBJECT: Request for turn-in or disposal of 1033/1208 DEMIL/Non-DEMIL Equipment               DATE:
Agency Name:                                                   Street Address:
ATTN (POC):                                                    City, State, Zip:
                                                               Phone number:
Property Approved by S/C for Turn-in: YES / NO                 Property Approved by LESO for Turn-in/Disposal: YES / NO
Property Approved by S/C for Disposal: YES / NO
State Coordinator Name/Stamp:                                  Turn-in or Disposal entered in CMIS database: YES / NO

      Print: Kara Thompson                                                 LESO Coordinator: ____________ Date: ____________________

       Sign:
  The State Coordinator and LESO must review requests for disposals or turn-ins. Once disposition approval has been obtained from the state
  coordinator and LESO, follow DRMS rules for turn-in and state laws/rules for disposals. LESO will only accept disposition requests that have the
  State Coordinator’s signature authorizing the turn-in or disposal of materials. If you have any questions, please feel free to contact the State 1033
  Program Office at (208) 884-7200 or fax (208) 884-7290.

  ITEM   ITEM                         FILE#              NSN                    DTID                    DOC#                    Disposal or DEMIL
  Number DESCRIPTION                                                                                                            Turn-in qty Code
     1
     2
     3
     4
     5
     6
     7
     8
     9
    10

  DRMO Accepting Approved Turn-in Requests: _______________________________________________

  NOTE: Upon actual turn-in or disposal of 1033/1208 property, provide the State Coordinator’s office with copies of completed turn-in receipt (DD
  Form 1348-1A) or disposal documentation. Files must be maintained on all disposals and turn-ins.