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Computer & Peripherals Pick-Up Request Form
(University-owned Equipment Only)

NOTE: For equipment acquired using federal funds, you must get approval of Accounting Services for Research and Sponsored Programs (ASRSP) for disposal. Information on ASRSP disposal policies can be found at http://www.northwestern.edu/asrsp/equipment.html.

Equipment with inventory tags (or cost exceeding $5,000) must be reported to the Accounting Services Equipment Inventory Coordinator, Regi George .

Name

Department

Address

Campus

Phone Number:

E-mail Address:

Please enter the quantity of items you would like picked up:
CPU(s) Monitor
Peripherals (mouse, keyboard, CDs, speakers)
Printer Scanner
Other

Pick-up Location:

You will be sent an email confirming pick-up time and date.