Precious Metal Destruction Form Home Village Departments Police Department Forms Precious Metal Destruction Please complete the following form for Precious Metal Sale or Destruction and click submit. Business Name : Date : Item Description : Serial Number : Date Purchased : Seller's Name : Age : Sex : Driver's License : Issuing State : Reason for Request : Resale of Item To be Shipped Scrap/Melt Item Approved By : ID # : Date :