Laptop Removal Request Form
Submit this form to request the removal of a laptop from use or assignment. Please provide accurate details for efficient processing.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Department or Team
Laptop Asset Tag or Serial Number
*
Current Laptop Location
*
Reason for Removal
*
Please Select
Device End of Life
Employee Departure
Device Replacement
Device Malfunction
Other
Requested Removal Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Comments (optional)
Submit Request
Should be Empty: