DEPARTMENT OF PROPERTY AND PROCUREMENT
Division of Printing
DOCUMENT DISPOSAL 
AUTHORIZATION FORM
DEPARTMENT/ AGENCY:
DIVISION:
BILLING ADDRESS:
CONTACT: 
PHONE: 		
	
	
                           FAX:
EMAIL: 
DOCUMENT DISPOSAL COST: $1.00 PER LB. PLEASE  ENSURE THAT YOUR DELIVERY IS FREE OF METALS, TRASH OR OTHER MATERIALS THAT CAN HINDER THE DOCUMENT DISPOSAL PROCESS. 
DOCUMENT DISPOSAL IS SCHEDULED BY APPOINTMENT ONLY AND APPOINTMENTS ARE BASED ON AVAILABILITY.  ONCE YOUR COMPLETED AND SIGNED FORM IS RECEIVED, YOU WILL BE GIVEN A 
SCHEDULED DATE FOR DOCUMENT DISPOSAL. AS THIS IS NOT A STORAGE FACILITY, WE ASK THAT YOU DELIVER YOUR DOCUMENTS FOR DISPOSAL ON THE DATE THAT YOU ARE SCHEDULED.  
St. Thomas       St. Croix        St. John   
ISLAND:
FOR DPP OFFICIAL USE ONLY
Disposal Date:___________________	 Verified By: _________________________________________________________
Weight: _____________________ LBS	 Shredded By: _______________________________________________________
Cost:	 $ _________________________	 Authorizing Signature: ______________________________________________
Local        Federal
GOVERNMENT:
Date Submitted: 
DATE REQUESTED:
DELIVERY CUSTODIAN (print): ___________________________________________________________________________
COMMISSIONER/ DEPT. HEAD (print) :_____________________________________________________________________
Commissioner/ Dept. Head (Signature):____________________________________________     DATE: __________________
Description of documents to be shredded:_ ________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
QUANTITY:
BOXES	 	
PALLETS	
   TRAILERS     	     OTHER:_____________________