Employee Device Return Checklist

Employee Name
Department
Date
Manager/Supervisor
Employee ID
Devices to be Returned
Device Type Serial Number Returned (Y/N) Condition Notes
Laptop
Mobile Phone
Monitor
Keyboard/Mouse
Other
Accessories/Items to be Returned
Item Returned (Y/N) Condition Notes
Charger/Power Adapter
Carrying Case/Bag
Security Card/Token
Other
Comments / Additional Notes
Employee Signature
Date
Manager/Supervisor Signature
Date