Battery and Computer Monitor/TV Pickup Form

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

EHS will collect only those unwanted/scratched/broken CRT monitors/TVs/flatscreens that do NOT have VT inventory tags. Surplus Property must collect all items with inventory tags. All computers (laptops, desktops, towers) must go to Surplus Property, regardless of their inventory tag status. The requesting department is responsible for removing the equipment from the university's fixed assets inventory.

First Name:
Last Name:
Phone Number:
Number of computer monitors/TVs: (0 if none)
Number of batteries: (0 if none)
Type of batteries:
Approximate total weight: lbs
Location of items: (Building and room number)
Any Additional Comments:

Please enter the phrase in the box to the right.