University of Wisconsin - Whitewater
Computer Disposal Declaration
Form 197
Computer Disposal Property (262) 472-4357
This form is for Computer and Computer peripheral Disposal Only
For Non-Comptuer disposal, please use the
Non-computer disposal form.
Contact Name:
Department:
Room number:
Phone:
Property Location:
10 Digit Org Code:
Authorized Email Address:
Date Available:
Technician Pickup:
Comments:
Leave this field blank unless the equipment is being picked up immediately.
I understand that all surplused equipment, once picked up, cannot be returned to its owners
or department and that all data on the hard drive will be erased prior to its disposal
.
#
Description
UWW Capital ID
Quantity
1
This form is submitted electronically, and a copy will be emailed to you for your records. For questions or comments contact
icit@uww.edu