Collection Request Proforma

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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) - [email protected]
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
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