Equipment Checkout Form

Equipment Checkout Form

For Staff Use Only*
Instructions - Please Read Carefully

Check-Out: Fill in the date, your name, and the condition of the equipment when you check it out. Sign the form. Check-In: Fill in the date, your name, and the condition of the equipment when you check it in. Report any issues or damages immediately. Additional Instructions - Before Check-Out: Ensure you understand how to use the equipment. During Use: Handle all equipment with care. Keep it safe from damage and theft. Upon Return: Clean and organize all equipment before returning it. Ensure all components are accounted for (e.g., cables, batteries).
Notes

Ensure all equipment is returned in the same condition it was checked out. Report any issues or damages immediately to Danielle and Julie. Equipment must be returned on or before the due date unless an extension is approved.
Employee Name

First NameLast Name
Email
example@example.com
Equipment Type
Date of Equipment Check-out

MonthDayYear
Date
Date of Expected Check-In

MonthDayYear
Date
Actual Date of Check-In

MonthDayYear
Date
Condition of Equipment Upon Check-Out
Condition of Equipment Upon Check-In
By signing below, the employee takes responsibility for any kind of damage to checked-out equipment and acknowledges that the equipment is working properly and in good condition. For any loss or damage, please report to Julie and Danielle immediately.
Signature of Staff Member
Julie's Signature of Approval
Should be Empty:

Instructions - Please Read Carefully