Computer Recycling Pickup Request Form

Complete this form to request a pickup.


First Name:
Last Name:
 
Phone:
  
Email:
   
Department:
v
 
Building:
v
 
Location:
 

# of Computers:
v
 
#of Monitors:
v
 

Asset Disposal (Form M) Form has been submitted to Property Accounting:
 

Special Instructions:

Submit