Environmental, Health and Safety Services

Battery and Computer Monitor/TV Pickup Form

Pickups of Batteries and Computer Monitors/TV
May Take Up to Three Weeks to Complete.

Name: *
Email: *
Phone: *
Number of computer monitors/TVs:
* Please put the numbers only (0 if none) 		*
Number of batteries:
* Please put the numbers only (0 if none) 		*
Type of batteries: *
Approximate total weight
(lbs - number only): 		*
Location of items:
(Building and room number)

 *
EHS will collect only those unwanted CRT monitors/TVs that do NOT have VT inventory tags for recycling. Surplus Property must collect all items with inventory tags.
The requesting department is responsible for removing the equipment from the university's fixed assets inventory.
Additional comments:

If requested, EHS will mail a receipt showing the date and the amount of equipment that was picked up for disposal.