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Equipment Checkout

Employee Information:

Employee Full Name

Employee ID Number

Department

Email Address

Mobile Number

Equipment Information:

Laptop Name/Description:

Laptop Serial Number:

Laptop Asset Number/Barcode (if applicable):

Monitor Name/Description:

Monitor Serial Number:

Monitor Asset Number/Barcode (if applicable):

Which Peripherals & Accessories did you receive?:

Keyboard & Mouse Combo

Laptop Stand

Webcam

Headset

Other

None

Condition of Equipment at Checkout:

Good condition

Minor scratches:

Other:

Checkout and Return Details:

Date of Checkout:

Requested Return Date:

Purpose of Use:

Project/Task/Reason for Borrowing:

Agreement and Responsibility:

I, the undersigned, acknowledge receipt of the equipment listed above in the condition noted. I agree to use this equipment responsibly, take reasonable care to prevent damage or loss, and return it by the date and time specified above. I understand that I may be held responsible for any damage or loss that occurs during the loan period. I have read and agree to the company's policies regarding the use and return of company equipment.

IT and Communications Policy

Employee Signature:

Signature