Laser System(s) Transfer Request Form

Laser System(s) Transfer Request Form

This form must be completed by any individual or lab transferring a laser system to another location, including a different lab, facility, building, or external organization.

Section 1: Requester Information

Authorized User(Required)

First Last

Laser Safety Contact(Required)

First Last

Phone(Required)

Email(Required)

Department(Required)

Laser Location (Building)(Required)

Laser Location (Room Number)(Required)

Section 2: Laser System Information

Laser Manufacturer(Required)

Model(Required)

Serial Number(Required)

Laser Class(Required)

Wavelength (nm)(Required)

Power Output(Required)

Type of Laser (e.g., CW, Pulsed)(Required)

Section 3: Transfer Details

Date of Transfer

Department(Required)

Laser Location (Building)(Required)

Laser Location (Room Number)(Required)

Authorized User(Required)

First Last

Laser Safety Contact(Required)

First Last

Phone(Required)

Email(Required)

LinkedIn

This field is for validation purposes and should be left unchanged.