IT Equipment Issuance Log Form
Record and track the checkout and return of IT assets for employees or recipients.
Employee Full Name
*
First Name
Last Name
Department
*
Employee Email Address
*
example@example.com
Employee Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Equipment Type
*
Please Select
Laptop
Desktop
Monitor
Tablet
Mobile Phone
Printer
Other
Equipment Serial Number
*
Asset Tag Number
Date of Issuance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Condition at Issuance
*
New
Good
Fair
Needs Repair
Other
Date of Return
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Condition at Return
Good
Damaged
Missing Accessories
Needs Repair
Other
Equipment Status
*
Please Select
Issued
Returned
Pending Return
Transferred
Accessories Provided
Charger
Carrying Case
Docking Station
Mouse
Keyboard
Other
Administrative Notes
Submit
Should be Empty: