Facility Asset Verification Form

School Name: *

Asset Identification Number: *

Street Address:

Town:

District:

Region:

GPS: Location

Asset Type:

Asset Verification No:

Asset Picture: *

Picture of FSDOE Asset

Tracking Device Serial No:

Tracking Device Picture: *

Picture of FSDOE Tracking Device

Is Onsite Power Available?

Yes No

DB Bord Picture: *

Picture of FSDOE Onsite DB Bord

Surveyor:

Surveying Date

Site Picture: *

Picture of FSDOE Site

Notes: