Company Property Receipt Acknowledgment Form
Please complete this form to confirm receipt of company property and acknowledge your responsibility for its care, return, and prompt reporting of any loss or damage.
Employee/Recipient Full Name
*
First Name
Last Name
Employee ID or Staff Number
*
Department or Position
*
Contact Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Property Description (e.g., laptop, phone, keys)
*
Property Serial Number or Asset ID
*
Property Condition at Time of Receipt
*
Please Select
New
Good
Used - Acceptable
Used - Damaged
Other
Date of Receipt
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Acknowledgment
Should be Empty: