Massachusetts State Contract FAC57 - Surplus Pickup and Disposition Request Form

Please use this form to request a pickup of surplus property under Mass. Operational Services Division Contact FAC57. This contract is open to Massachusetts state agencies, municipalities and school districts, and non-profit organizations.

IRN is committed to assuring that surplus managed under this contract will be provided to U.S. and international relief agencies for disaster relief and economic development. If surplus cannot be donated for relief, it will be recycled for its wood or metal content. NO surplus disposed through contract FAC57 will be landfilled or incinerated.

When you submit this form, IRN will contact you within three business days to discuss details and prepare a proposal for service. Users of the contract will pay a fee for the service, as specified in the contract. The fee will be detailed in IRN’s proposal.

When you fill out the form, the most important thing is as accurate an inventory as possible of the items you need picked up. To keep costs as low as possible, we set up “milk run” routes to collect surplus from multiple locations. To do this effectively, we need a good estimate of the type and quantity of material that will go on the truck.

Customer information
Organization:
Contact:
Title:
Phone:
Email:
Best time and way to reach you:     

Property information
Please provide as good an inventory as possible of available surplus (number and description of items). You can fax (603-229-1960) or email a separate inventory if more convenient.
Your best estimate of total quantity:

Pickup information
IRN will contact you within three business days to discuss details and logistics of your donation, and will provide an estimate of the costs. If there is another person who will handle these details, please provide contact information here.
   
Street address:
City:
Does this location have a loading dock?
Additional notes or comments::
Contact person for details of donation (if different than above):
Phone:
Email:
Best way to reach contact:


 

Questions?

If you have questions, please contact Laura Ireland of IRN by email or at 603-229-1962.