Hardware Repair Recovery Report Form
Document the recovery and return of repaired hardware to customers or internal users.
Recovery Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hardware Type
*
Please Select
Laptop
Desktop
Monitor
Printer
Network Device
Other
Hardware Serial Number
*
Description of Repair Performed
*
Condition Upon Return
*
Please Select
Fully Functional
Partially Functional
Cosmetic Damage
Other Issues
Recipient Name
*
First Name
Last Name
Recipient Department or Company
Technician Name
*
First Name
Last Name
Additional Notes
Recipient Signature (confirming receipt of hardware)
*
Submit Recovery Report
Submit Recovery Report
Should be Empty: