Work Order

Work Order

Instructions: This form should be filled out and submitted online.

If this surplus equipment contains hazardous material, Freon, oils, etc., please contact Occupational and Health and Safety or follow the instructions “Refrigeration Equipment and Appliance Disposal” and do not submit this form.

  • Please enter RT Number
    If yes please describe in notes box below.
    If no, please comment on the condition of equipment in the notes box below.
    If yes, contact EHS or follow the instructions "Refrigeration Equipment and Appliance Disposal" and do not submit this form.