Safe Electronic Equipment Disposal Form

Bold fields are required.

Requests for a collection must be placed one week or more prior to the planned collection date. Requests after that time will be assigned to the next collection.

Detailed Instructions can be found on the IT Security Webpage.

Contact Information

This information pertains to the person filling out this form.

Username
First Name
Last Name
E-mail
Confirm E-mail
Phone Number
Department
BSC
This program is for University Equipment only.
Is all the equipment University owned?

Equipment Information


How do you wish to supply the information for your equipment?

  • To manually enter items into this webform.
  • To use a template.

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These pages appear differently when viewed online.

If you are the owner of this site and you would like to print the page as it appears online, please refer to the file "QuickStart.html" for instructions.