Equipment Disposal Request

Please ensure you have entered a Work Order and have the number available BEFORE completing this form.
* Your Name
* Your Email
* Department/School
* Location and/or Computer Name
(If this item is a computer, you MUST put computer name for inventory removal.)
* Work Order Number
HCPS Asset Tag Number
Equipment Name
* Serial Number
Other Comments
Onsite Inventory Manager
If this item is a desktop or laptop please fill out the questions below
Does this equipment have purchased software installed?
Please list any software titles which will be removed FROM this item
and placed onto another item
* I certify that all procedures and policies have been followed in the removal of this equipment.
(including Inventory, Confidential Information, Copyright, etc.)