Complete and submit this form to make your supplies available to other City of Richmond employees or to request supplies for use in your office.

Please check the boxes below acknowledging that you understand the following limitations. The supply exchange:

* May only be used for exchange of supplies for use at work. It may not be used for personal items.

OK

* May not be used for electronics. Please contact your department support representative (DSR) with your electronic equipment needs.

OK

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Name*

Department*

Work Phone Number (This number will be used by other City employees to contact you)

1. Item (Include quantity and description)*

Do you want to make this item available to other City employees or would you like to request this item for use in your office?*

This item is available to other employees

I want this item

2. Optional: Second Item (Include quantity and description)

Do you want to make this item available to other City employees or are you requesting this item for your own use?

This item is available to other employees

I want this item

3. I have OK'ed these items with my department's main purchaser. *

Yes	No (Please OK your item with your <a href="http://www.ci.richmond.ca.us/DocumentView.aspx?DID=5404">department's Main Purchaser</a>).

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Thank you for completing this form. You will now be redirected to a list of items wanted and available by City staff. Please allow 1-2 days for your submission to appear.

It is the recipient's responsibility to arrange for pickup of an item. It is the provider's responsibility to complete the form indicating that an item has been given away (available on the following page).

Through this supply swap, the City of Richmond can reduce unnecessary purchasing and waste by circulating resources more efficiently.