Specialized Vehicle Equipment Assignment Sheet
Assignment Details
| Assignment Date |
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Assignment Location |
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| Assigned by |
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Contact Information |
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Employee Information
| Employee Name |
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Employee ID |
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| Job Title |
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Department |
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Vehicle Information
| Vehicle Make / Model |
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Vehicle Identification Number (VIN) |
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| License Plate |
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Odometer |
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Equipment Assigned
| Equipment Name / Description |
Serial / Asset Number |
Condition |
Notes |
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Acknowledgement
I acknowledge receipt of the above equipment and understand my responsibilities regarding its use and return.
| Employee Signature |
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Date |
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| Supervisor Signature |
|
Date |
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