Device Pick-up Request

Please Note:

Devices being relocated outside of your current building may incur a transportation fee. Zeno will provide an estimated charge to the requestor before removing the device.
Please request pick-up date two or more weeks in advance
All pick-up request must be scheduled on either Mondays or Wednesdays

Device Pick-Up Request

Requestor Contact Information
Name of Requestor*
First Last
Requestor's Phone Number*
Requestor Email Address*
Date of Pick-Up*
Month
Day
Year
Equipment
Equipment Serial # of Device Being Picked-Up*
Model # of Device Being Picked-Up*
Complete Physical Address
Street Address and Building Name*
Room Number*
Is this room accessible during business hours or is it a restricted area?

Please answer Yes or No. If No, please provide the contact info to gain access.
Elevator?*
- Yes
- No
Stairs?*
- Yes
- No
Department 8-Digit# & Name Assigned to Device at Current Location*
Name of Current Financial Approver (MyUF Payment Solutions)*
First Last
Phone*
Email*
IT
IT Support Personnel*
First Last
IT Support Phone Number*
IT Support Email Address*
Have You Contacted Your IT Support Staff to advise them of this pick-up?*
- Yes
- No
Reason for Removal
Phone
CAPTCHA