Removable Media Sanitization Request Form
Request the secure sanitization or destruction of removable media. Please complete all relevant fields to ensure prompt processing.
Full Name
*
First Name
Last Name
Department or Unit
*
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Removable Media
*
Please Select
USB Flash Drive
External Hard Drive
CD/DVD
SD Card
Other
Media Description (e.g., brand, serial number, label)
*
Quantity of Media Items
*
Requested Action
*
Sanitization
Destruction
Pickup/Drop-off Location
*
Additional Comments or Instructions
Submit Request
Should be Empty: