Facilities Management Division

SUPPORT SERVICES

Confidential Destruction Request Form

The confidential destruction services requested here will be undertaken on the forthcoming Thursday so long as this form is completed by the 1:00pm the preceding Wednesday. Forms completed after this time will be actioned the following Thursday.

* Required

REQUESTOR INFORMATION

Department

Account Code

* Check code
Format XX-XX-XXXX-XX-4200-XXXX
Example 01-RB-WG00-30-4200-0000

Full Name

Phone No

Email

LOCATION INFORMATION

For the service to be undertaken efficiently it is important that you clearly and correctly state the location.

Building

Level

Room Number

SERVICE REQUIRED

Note - the cost of a small bin is the same as a large bin.

Service *
240 Litre Bin (Large) - Empty & Replace
240 Litre Bin (Large) - Deliver ONLY
240 Litre Bin (Large) - Empty, DO NOT REPLACE
120 Litre Bin (Small) - Empty & Replace
120 Litre Bin (Small) - Deliver ONLY
120 Litre Bin (Small) - Empty, DO NOT REPLACE
Other - Provide details in Additional Information Section below.

ADDITIONAL INFORMATION

If you selected "Other" above as Service, please provide details here. Such as cartons of documents and how many, or Box of DVDs etc. Also, use this section to provide any other information that may be necessary. For example, if the room is locked who is the key holder and where is that person located.

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