UNIVERSITY OF ARKANSAS AT LITTLE ROCK

Computer and Electronic Solid Waste Management Policy

Certificate of Destruction

Inventory Number
Serial Number
Equipment Type
Physical Location
Department
Contact Person
Contact Phone
Contact e-mail

I certify that I have destroyed the hard drive in the above-referenced personal computer and have disposed of it in such a manner that the data will not accessible.

^{Signature^{^Date

Please attach a completed copy to the Marketing and
Redistribution Form and retain a copy for your records.
The completed form must be retained in the department
for a minimum of five (5) years.}}