Electronics Donation Tracking Form Electronics Sale & Donation Tracking Form Which best describes this transaction? * Sale – within the university, for university reuse Sale – outside the university (WashU employee) Sale – outside the university (non-WashU employee) Transfer – within the university, for university reuse (no charge) Donation – non-profit organization or school Donor/Seller Department Name * Department Point of Contact, First & Last Name * Phone Number * Email * Donation Recipient/Buyer Name (Organization) – n/a if selling to individual * Recipient Name (Organization Point of Contact/Buyer) * Phone Number (Organization Point of Contact/Buyer) * Email (Organization Point of Contact/Buyer) * How many desktop computers are being donated/sold? How many laptop computers are being donated? Please list the other types of items that are being donated/sold, including a brief description and the number of items donated. To the best of your knowledge, what is the estimated total value of the donation? (Sale price if being sold) Were all items donated in working order? NOTE: Per WashU’s legal responsibilities, all electronics must be in working order in order to be donated or sold. Selecting “no” or “I don’t know” will trigger a response from Environmental Health and Safety. Please refer to donation guidelines. * Yes No I don’t know OtherOther Have all devices been through the data and hard drive destruction protocol? NOTE: Per WashU’s legal responsibilities, all electronics must go through this process prior to being donated or sold. Selecting “no” or “I don’t know” will trigger a response from WashU IT. Please refer to donation guidelines for specific instructions. * Yes No I don’t know OtherOther Please outline the steps that were taken to ensure data and hard drives were destroyed. Enter N/A if it does not apply to the type of equipment that was donated/sold. * If donating computers, have all machines had their ownership transferred via the DELL and Apple ownership transfer program? * Yes No I don’t know OtherOther Has the organization/buyer receiving the donation signed the required Bill of Sale, transfering all responsibility of ownership to the new recipient? (REQUIRED) * Yes No I don’t know OtherOther File Upload: Bill of Sale * Drop a file here or click to upload Choose File Maximum file size: 51.2MB File Upload: Additional Documentation Drop a file here or click to upload Choose File Maximum file size: 51.2MB This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Submit Δ