Disposal Declaration Form

500 North Fremont Street
Whitewater, WI 53190
For non-computer surplus property questions, contact: (262) 472-6723
Fax (262) 472-5556

NOTE: this form is for non-computer disposal.
For computer and computer peripheral disposal, please go to the Computer and Hardware Surplus page.

Contact Name:

Department Name:

Building & Room #:

Phone:

Property Location:

Funding Code:

Authorized Email Address*:

Date Available:

Comments:

* This will be used as your authorized signature

Capital Tag ID #:

Property Description:

Class:

Condition:

Age:

Quantity:

Has this property been replaced or will it be replaced in the next year? Yes No
Was this property purchased with federal funds? Yes No
If yes, please supply the federal project funding code:
Estimated original cost:

This form is submitted electronically there is no need to send a paper copy.