Workstation Retrieval Consent Form
Technology Operations & Services Workstation Retrieval Consent Form
Before Technology Operations & Services can take possession of IU Tag Number ____________for reallocation and or retirement, we must have a responsible party read and sign this form.
The computer listed above will be re-imaged. The process of re-imaging the machine will result in a TOTAL LOSS OF DATA (no data/information that was on the PC will be recoverable).
By signing below, I acknowledging that this machine will be reallocated and or retired from inventory resulting in total loss of data.
Name _________________________________ Date ____________
Computer Name __________________________________
IU Tag Number ____________
Last Modified 4/11/2010