Alkaline Battery Check-In Form
Use this form to check in alkaline battery items, record their condition, and document check-in details.
Battery Type/Size
*
Please Select
AA
AAA
C
D
9V
Other
Brand
*
Batch or Serial Number
Quantity
*
Physical Condition
*
New/Unused
Good
Worn
Damaged/Leaking
Charge Status
*
Full
Partial
Empty
Check-In Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Check-In Location
*
Checked In By (Name)
*
Additional Notes
Submit
Should be Empty: