Equipment Checkout Form

Date

Employee Name

First NameLast Name

Employee ID Number

First NameLast Name

Email

example@example.com

Phone Number

Format: (000) 000-0000.

Checked Out Equipment

By signing below, the employee takes the responsibility for any kind of damage to checked out equipment and acknowledges that the equipment is working properly and in a good condition. For any loss or damage, the employee accepts to cover the cost of new equipment.

Signature