End-of-Employment Technology Return Policy Acknowledgement

This form documents your acknowledgement of the company’s technology return policy. Review all equipment, software, and access that must be returned or revoked upon the end of employment.

Employee Name

Employee ID

Position/Title

Department

Last Day of Employment

Technology & Equipment to be Returned

Devices (List type & serial numbers)

Accessories (Chargers, adapters, etc.)

Software Accounts / Credentials

Other Items

Acknowledgement

I acknowledge that I have reviewed the End-of-Employment Technology Return Policy and understand my responsibility to return all company-owned equipment, software, and data access credentials before leaving the organization. Failure to do so may result in further action as outlined by company policy.

Employee Signature

Date

HR Representative (Name)

Date