University of Edinburgh Request for collection of Waste Electrical & Electronic Equipment (WEEE) for recycling INSTRUCTIONS: Fully complete ALL PARTS of this form, save it and then email a copy to Heather Robertson at CCL (North) - heather@cclnorth.com CCL (North) will contact you to let you know what date your equipment will be collected. Someone must be available to sign the drivers form and ensure the contents matches this on. The completed signed Waste Transfer Note CCL (North) driver gives you at the time of collection must be kept for two years along with this form. If the waste is hazardous then there will also be a Special Waste Consignment Note that must be kept for two years. Contact Name Phone College / Group Email School (please chose) Address Of Holding Location For Equipment including Dept Special Instructions for contractor Total Numbers of Items for Collection Number Due for Collection Type CRT Monitors (Hazardous items - do not underestimate this figure) Flat-screen Monitors 0 0 Computer Base Units 0 (Provide serial numbers on next sheet) Printers 0 Boxes of keyboards, mice, cables, power packs Other e.g. batteries, calculators, PCB boards, other electrical / electronic equipment (Provide full details on next sheet) (NO FRIDGES, FLUORESCENT LAMPS or HAZARDOUS BATTERIES) Date due for collection 0 0 Name of Authorised Person Do not forget to complete following page before emailing this form to CCL (North). Page 1 Detailed list of Base Units items for Collection You must list the serial number of every Base Unit below. Collections containing Base Units WILL NOT be made unless this list is complete. SERIAL NUMBERS SERIAL NUMBERS SERIAL NUMBERS (For base units only) (For base units only) (For base units only) Detailed list of “Other” items for Collection TYPE OF EQUIP Dimensions TYPE OF EQUIP Page 2 Dimensions