Kansas Department of Administration

State Surplus - Agency Pick Up Request Form

This form is used by agencies in Shawnee County to submit a request of pick up for items destined to go to State Surplus.

ON MARCH 1, 2021 THERE WILL BE A MINIMUM CHARGE OF $30.00 FOR DISPOSAL OF NONSELLABLE ITEMS.

* Indicates a required field
Pick Up Request Information
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*   Please enter the physical street address for the pick up of property.
*   Please enter your First Name and Last Name in this field.
*  Enter the phone number where we may be able to reach you to schedule the pick up of your property.
*  Please enter the date (MM/DD/YYYY) that you request the property to be picked up by.
Please select the type of property you have that needs to be picked up. :
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 You may select more than one option as needed.
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*  Example: Landon, 8th Floor, South end, Room 855. (Max. limit of 50 characters)
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