Sports Equipment Destruction Certification Form
Please complete all sections to certify the destruction of sports equipment. All information provided must be accurate and complete.
Full Name of Submitter
*
First Name
Last Name
Email Address
*
example@example.com
Organization or Team Name
*
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Equipment Destroyed
*
Quantity Destroyed
*
Identifying Details (e.g., serial numbers, batch codes, distinguishing marks)
Date of Destruction
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Method of Destruction
*
Please Select
Shredding
Crushing
Burning
Disassembly
Other
Reason for Destruction
*
Please Select
Damaged beyond repair
Expired or obsolete
Safety concerns
Other
Location of Destruction (address or facility name)
*
Certification Statement: I confirm that the above sports equipment has been destroyed as described.
*
I certify the information is accurate.
Submit Certification
Should be Empty: