E-Waste Disposal Manifest
Generator Information
Company/Organization
Contact Name
Phone
Address
Email
Transporter Information
Company Name
Contact
Phone
Address
Email
E-Waste Details
Item Description
Type
Quantity
Weight (kg)
Serial/Asset #
Remarks
Receiver Information
Company Name
Contact
Phone
Address
Email
Certification & Signatures
Date
Location
Generator Signature
Transporter Signature
Receiver Signature