IT Hardware Secure Disposal Request Form
Requester Information
Name
Department
Email
Phone
Hardware Details
Hardware Type
Laptop
Desktop
Server
Mobile Device
Storage Device
Other
Brand / Model
Serial Number
Asset Tag Number
Quantity
Condition
Working
Not Working
Damaged
Data Storage
Does the hardware contain data?
Yes
No
Has data been erased?
Yes
No
Additional Information
Comments / Special Instructions