Salvage Request
Staff, 

Complete this form to request removal of items. Once you have completed this form, mark or label item to be removed from location. 

Please note removal of any items such as file cabinets, and teacher desks need to be completely empty. 
Sign in to Google to save your progress. Learn more
Email *
Teacher Name *
Classroom/Location *
Quantity and Description of Item(s) 
Example: 3, tall file cabinets 
*
Quantity and Description of Item(s) 
Example: 1, TV Monitor 
*
Quantity and Description of Item(s) 
Example: 4, student chairs
*
Quantity and Description of Item(s) 
Example: 1, teacher desk. 
*
Quantity and Description of Item(s) 
Example: 2, bookcases 
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of LAUSD. Report Abuse