UNIVERSITY OF PITTSBURGH FORM INSTRUCTION GUIDE

FORM TITLE:  EQUIPMENT SCREENING CERTIFICATE
NUMBER:      FORM 0101
PROCEDURE:   05-10-01
DATE:        July 1, 2004 Revised


TO BE COMPLETED BY THE PROJECT DIRECTOR:

1.   Number or Name of Responsibility Center.

2.   Five digit department number.

3.   Account number used to purchase asset(s).

4.   Equipment quantity.

5.   Manufacturer of equipment.

6.   Brief description of the asset.

7.   Acquisition cost per unit.

8.   Total amount for all equipment.

9.   Determine which search parameters are required dependent upon
     equipment cost.

10.  Certify that no like equipment exists on the Property Inventory
     Report.

11.  Signature, Date, and Campus extension of Project Director.

12.  Signature, Date, and Campus extension of Account Administrator.

13.  Signature, Date, and Campus extension of Responsibility Center
     Head, if necessary.

14.  Signature, Date, and Campus extension of Research Accounting
     personnel overseeing award.