Computer/Electronics Recycling Form
Contact Name: ________________________
Phone number: ___________________
After following the instructions below, please attach this form to the item(s) that need to be removed.
Steps for having computers/electronics moved:
1. Complete the form below and attach to each item that is to be recycled so that it can be identified for pickup.
Send email to refresh@creighton.edu for the equipment to be picked up. Make sure to include the location of
the items, the time frame the items can be picked up and a good phone number you can be reached at.
2. To have large amounts of equipment moved (more than a car trunk load) or if you have more than 10
computers, monitors and/or printers to be picked up. Submit a work order through Facilities Management
http://www.creighton.edu/Facility to have Moving Services pick up the equipment. Please specify on the
work request that the items are too large for DoIT to remove.
3. If you have Medical or Scientific/Lab equipment that needs to be disposed please contact Mary Duda at
mjduda@creighton.edu
The equipment will not be picked up if the computers/electronics recycling form is not signed and attached.
Please check the appropriate boxes:
Computers:
Monitor :
Keyboard :
Mouse:
Please note: Keyboards, mice and any item with a circuit board are considered Universal Waste
and must be recycled per Nebraska Department of Environmental Quality Title 128, Chapter
25 (Universal Waste Regulations)
The EPA and the NDEQ require Creighton University to properly dispose of ALL electronic waste. Electronic
waste includes computers, monitors, phones, keyboards, mice, printers, USB drives, external hard drives,
projectors, medical equipment, etc. No equipment can be stored in closets or offices for use at a later date. All
unused equipment needs to be sent to the Murphy Building for recycling. If you have questions please email
refresh@creighton.edu.