Fill out this form to request a pickup of equipment for recycling at your UR location. This service is provided free of charge to the University of Rochester community Please keep all equipment secured until pickup. Contact InformationName* Phone Number*Email Address* Department* Alternate Contact Name Alternate Contact Phone Number Alternate Contact Email Address EquipmentEnter the number of each type of equipment to be picked up.Desktop ComputersLaptop ComputersMonitorsTVsPrinters URMC/UR Medicine & Affiliates: The ISD Help Desk needs to be notified before URMC owned printers are recycled, so they can be properly decommissioned.Printer Size* Large Small Loose Hard DrivesKeyboardsMiscellaneous Equipment(e.g., cables, peripherals, phones, mobile devices, etc.)Image UploadIf necessary, you can upload an image of the equipment being requested for pickup.Max. file size: 20 MB.Pickup InformationStreet Address*Example: 601 Elmwood Ave, Rochester, NY 14642 Location Details*Include items like full building name (do not abbreviate), floor, and room number Special Pickup Instructions*Pickups occur on Wednesdays between 9:00am and 5:00pm.Additional Comments Δ