On Demand Shredding Service Request

Your order is subject to verification, and the prices shown are estimates only. Actual charges will be assessed on the actual amount picked up. The rental period for shred bins is limited to a maximum of 4 weeks. Shred bins and boxes being submitted to Shredding Services for document destruction need to be void of all metal, media, rubber, plastic, or recyclable materials of any kind. A box is considered the size of a standard (not long) banker's box. Oversized or overfilled boxes, long or wide boxes will be charged accordingly.

Boxes will not be returned!

We will not accept any boxes that are wet, moldy, contaminated, or contain evidence of insects or mice! Please contact Environmental Health Services if you have boxes that are any of the above for instructions on disposal.

This order form is for On Demand Pickups only, if you desire to order our Regularly Scheduled Pickup service please click here.

Your Name*

First NameLast Name

Your E-mail Address*

A copy of this request will be sent to this address.

Department Name*

Campus Delivery Code*

Phone Number*

PLEASE USE A CAMPUS PHONE NUMBER - No Spaces - Use Format 9704911234

Building Name*

Room Number or Location of Shredding*

Please Be Specific

On-Site Contact Name

If Different Than Yourself

On-Site Contact Phone Number

If Different Than Yourself

Kuali Account Number to Be Charged*

Use xxxxxxx Format (No Dashes, 7 Digits)

Kuali Object Code

OPTIONAL

Kuali Sub-Object Code

OPTIONAL

Additional Information

Enter Any Additional Information That May Be Helpful in Processing Your Request

Select Size and Quantity*

Standard Bankers Box (10Hx12Wx15D) or Paper Box$4.00

Quantity

Extended Size Bankers Box (10Hx12Wx24D)$6.50

Quantity

Shred Console = 2 Std. Banker's Boxes (Recurring Shred Service Customers Only)$15.00

This option is exclusive to Recurring Shred Service customers and is limited to a one-time pickup.

Quantity

32G Container = 4 Std. Bankers Boxes (One-Time Pickup Only)$16.00

Quantity

65G Container = 8 Std. Bankers Boxes (One-Time Pickup Only)$34.00

Quantity

95G Container = 12 Std. Bankers Boxes (One-Time Pickup Only)$48.00

Quantity

Total $0.00

Human Check. If Submit button stays grey, scroll up to complete reCAPTCHA!*

PLEASE DO NOT BRING YOUR ORDER DIRECTLY TO SHREDDING SERVICES!

REMINDER - THIS IS A TWO-STEP PROCESS

This is a two-step process. After receipt of your shred order, you will either receive an envelope via Campus Mail with barcoded labels to affix to your boxes, or we will deliver your requested container to your location. If you opt for a pre-paid shred bag, we will send the bag to you through Campus Mail. In all cases, further instructions will be included outlining the steps to initiate a pickup online once your boxes/bags are ready or the containers are full.

	Date	Start Time	End Time	# Boxes/Containers	Employee
1
2
3
4
5
6