UI kit
Example: Edit form
All examples
Source
Work
/
Jobs
/
ITAD-2610002
/ Edit
Edit job
ITAD-2610002
2 things to fix
The job was not saved.
Pickup date can't be before the job was created (10/20/2026).
Contact email needs an @ and a domain.
Client
Client
Example Health
Example Law Group
Example Manufacturing
Gorelo ticket (optional)
Contact name
Contact email
Needs an @ and a domain, like jordan@example.com.
Pickup
Street address
City
State
NY
OH
PA
ZIP
Pickup date
Can't be before 10/20/2026, when the job was created.
Window
Morning (8 to 12)
Afternoon (12 to 4)
Estimated weight (lb)
A guess is fine. The weight at intake replaces it.
Service
Wipe only
NIST 800-88 Purge. Drives go back into resale.
Wipe, then shred failed drives
The usual choice.
Shred everything
No wiping. Every drive is destroyed.
Client wants to witness destruction
We book a time with the contact.
Notes for the team (optional)
Client wants the certificate emailed to the office manager as well.
Seen by Tech Dynamix staff only, never on the certificate.
Job number
Set when the job is created. It never changes.
Save job
Cancel