Work OrderWork Order

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

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

  • Date Format: MM slash DD slash YYYY
  • 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.