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DEGAUSS ELECTRONIC STORAGE MEDIA

Please use one form for multiple hard disks. (It is not necessary to submit separate forms for each unit.)

(Please PRINT this form; sign, date, and wrap it around the electronic device,
secure it with a rubber band, or place on top of units in a box.)

I understand that degaussing removes unwanted magnetism from the read/write head in a disk or tape drive, permanently destroying the device (it can not be reused).

Central Stores will dispose of the device appropriately.

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Print Name

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Signature

 

 

 

 

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Date

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Department

 


 

 

Complete the below portion of this form ONLY if you need the device returned to you. (This is only necessary if you have to return the device to a vendor to satisfy a warranty issue.)

 

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Name (Please PRINT)

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U-Box Number