Military Equipment Destruction Certification Form
Document and certify the destruction of military equipment in accordance with standard procedures.
Date of Destruction
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Destruction
*
Equipment Type
*
Equipment Serial Number or Identification
*
Destruction Method
*
Please Select
Demolition
Cutting/Shredding
Incineration
Crushing
Other
Description of Destruction Process (optional)
Name of Witness
*
First Name
Last Name
Role/Title of Witness
*
Name of Approver
*
First Name
Last Name
Certification: I hereby certify that the above-listed equipment has been destroyed as described.
*
I certify that the information provided is accurate and the equipment has been destroyed.
Submit Certification
Should be Empty: