Agreement to Return and Care for Company Equipment
I acknowledge that while I am working for SEND, I will take proper care of all company equipment that I am entrusted with. I further understand that upon termination, I will return all SEND property in proper working order. I understand I may be held financially responsible for lost or damaged property. This agreement includes, but is not limited to, laptop, docking station, monitor, monitor stands, desktop, mouse, keyboard, phone, and any other equipment. I understand that failure to return equipment will be considered theft and may lead to criminal prosecution. The following is a list of SEND equipment that you are being entrusted with and that must be returned to SEND in proper working order upon termination:
Employee Name
First Name
Last Name
Email
example@example.com
Today's Date
-
Month
-
Day
Year
Date
What are you taking home?
Laptop
*
Yes
No
Laptop Name or Service Number
*
Laptop Docking Station
*
Yes
No
Docking Station Service #
*
Monitor
*
Yes
No
Number of Monitors
*
1
2
Monitor Brand(s)
*
Monitor Power Cords
*
Yes
No
Monitor Cords 1
*
VGA to VGA
DVI to Display Port
Other/Adaptor
Other Cords 1
*
Monitor Cords 2
*
VGA to VGA
DVI to Display Port
Other/Adaptor
Other Cords 2
*
Monitor Stand
*
Yes
No
Stand Type
*
Metal
Home Made
Computer
*
Yes
No
Computer Number
*
Computer Power Cord
*
Yes
No
Computer Ethernet Cord
*
Yes
No
Computer Ethernet Cord Size
*
Less than 10 ft
Greater than 10 ft
Mouse
*
Yes
No
Wireless Mouse
*
Yes
No
Keyboard
*
Yes
No
Wireless Keyboard
*
Yes
No
Phone
*
Yes
No
How many phones
*
1
2
Phone Serial Number 1
*
Phone Serial Number 2
*
Phone Power Cords
*
Yes
No
Number of Phone Power Cords
*
1
2
Ethernet Cords
*
Yes
No
Number of Ethernet Cords
*
1
2
Ethernet Cord Size 1
*
Less than 10 ft
Greater than 10 ft
Ethernet Cord Size 2
*
Less than 10 ft
Greater than 10 ft
Misc
*
Yes
No
Please add anything else you are taking home.
*
Employee Signature
*
Approver's Name
*
First Name
Last Name
Approver Signature
*
Submit
Should be Empty: