Media Disposal Chain of Custody Form
Document and track the transfer and disposal of media assets to ensure proper chain of custody.
Media Type/Description
*
Media Serial/Asset Number
*
Date and Time of Transfer/Disposal
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Person Transferring Media (Full Name)
*
First Name
Last Name
Person Receiving Media (Full Name)
*
First Name
Last Name
Method of Disposal
*
Please Select
Shredding
Degaussing
Physical Destruction
Recycling
Other
Additional Comments (optional)
Signature of Responsible Person
*
Submit Chain of Custody
Submit Chain of Custody
Should be Empty: