The purpose of this form is to update various inventory databases, release precious IP address for reuse, and contact surplus sales if necessary for proper disposal of the equipment. The owner is responsible for securely erasing any sensitive data off the storage. Sender Information Your Name * Your e-mail address * Your Telephone Number * PI's E-mail Address * When will or did this happen? * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20222023202420252026 Year Equipment Information Brief Description * Please enter one of the following numbers: UCID # (Mandatory for equipment valued over $5000) Mfg. serial number For Computers and/or Peripherals Only Select One Computer Peripheral Hostname IP Address may be released for re-use * Yes No N/A Current Location * Explanation for change in status CAPTCHA This question is for testing whether you are a human visitor and to prevent automated spam submissions. Math question * 2 + 11 = Submit