University of Wisconsin - Whitewater
Computer Disposal Declaration Form 197

Computer Disposal Property (262) 472-4357

NOTE: This form is for computer and computer peripheral disposal Only.
For non-computer 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 .