IT Equipment Checkout Agreement

Employee Information

Name
Department
Email
Phone

Equipment Details

Item Serial Number Asset Tag Accessories

Checkout Information

Date Issued
Due Date/Return Date

Agreement Terms

  1. I acknowledge receipt of the above-listed equipment in good condition.
  2. I am responsible for the care, security, and return of the equipment.
  3. I will not transfer, loan, or assign the equipment to any other person.
  4. I will report loss, theft, or damage immediately to the IT department.
  5. I agree to return all equipment and accessories by the due date or upon request.
  6. If the equipment is lost, stolen, or damaged, I may be responsible for its replacement or repair.
Employee Signature    Date:
IT Department Signature    Date: