DESCRIPTION OF PROPERTY (Include Bar-Code Tag and Subcontract number if applicable):

ACQUISITION - Req. #/MR#:

PROCESSING A LOAN OF PROPERTY

EXCESSING PROPERTY

YES - Property matches specifications of the High-Risk Checklist, as found on the:

TRIGGER LIST or DUAL-USE LIST Other (specify)

NO - Property does not match the above specifications of the High-Risk Review and therefore is not High-Risk.

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COMMENTS: 

Signature:  __________________________________  Date: ____________

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