Name

First Name

Last Name

Please choose one or more of the following options

DISPOSE: I authorize Mac Nurse to deliver my electronic device to an electronic recycling facility or e-Waste location on my behalf. This service by Mac Nurse includes the proper, safe, and timely disposal of a customer's unwanted electronic device(s) at an authorized, certified E-Waste Recycling facility. This service includes disassembly of a computer into its basic components, and removal of Battery for proper recycling of Battery separate from other computer parts (for Battery powered devices). Laptops, iPhones, and iPads: $15/device. iMac Desktop computers: $25/device

WIPE AND ERASE (IN PREPARATION FOR DISPOSAL): $50: Erase/Wipe your Computer. This is the best option when you are looking to have your computer properly disposed of (by yourself or by Mac Nurse) and would ALSO like to be certain that none of your personal or private data is accessible to anyone, ever, in the future. Full erasure of your device: $50/device

WIPE, ERASE, AND REINSTALL: $95: Professional reinstallation of a clean and fresh version of your computer's Operating System (OS). This is the best option when you are looking to wipe, erase, and reinstall an OS into your computer so you can safely pass along your device to the next lucky recipient without all of your private and personal data on it. This service includes a complete erasure of your device and a clean installation of Apple's newest and compatible Operating System your device is capable of running: $95/device

$0: I will pick up my device from Mac Nurse and either keep it and decide what to do with it at a later date, or dispose of it myself at my nearest e-Waste, recycling, or transfer station facility.

If you have chosen the $95 option: "Erase/Reformat/Reinstall a clean and new version of an Operating System in your device", please type the preferred USERNAME that you would like associated with this newly setup Mac.

If you have chosen the $95 option: "Erase/Reformat/Reinstall a clean and new version of an Operating System in your device", please type the preferred PASSWORD that you would like associated with this newly setup Mac.

If you have chosen either the $50 or $95 erasure option, in the field below, please indicate the type of device you are looking to have erased.

For example: iPad, iPhone, MacBook Pro, MacBook, MacBook Air, iMac, Mac mini, etc.

Initial here to fully authorize this action

By initialing here, I hereby authorize Mac Nurse to either dispose of and/or completely erase/format everything on my device's internal Hard Drive, including photos, videos, downloads, documents, movies, music, browser bookmarks, preferences, settings, etc. Erasure of your device will not affect any of your local (external Hard Drive) or Cloud-based (iCloud, Google Drive, Dropbox, etc) backups.

Today's Date

YYYY

Feel free to use this section to write any additional comments or notes to share with Mac Nurse regarding the erasure of your device's Hard Drive

Device Erasure Permission Form