Equipment Return Handover Certificate Form
Please fill out the details to complete the return process.
Full Name of Person Returning Equipment
*
First Name
Last Name
Full Name of Receiving Staff
*
First Name
Last Name
Date of Return
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Equipment ID or Serial Number
*
Description of Equipment Condition
*
Return Method
*
Please Select
In-Person
Courier
Other
Comments or Additional Notes
Location of Equipment Handover
*
I confirm that the returned equipment is in the described condition and all accessories are included.
*
1
I Confirm
Signature of Person Returning Equipment
*
Signature of Receiving Staff
*
Submit
Submit
Should be Empty: