IT Equipment Clearance Form
Please complete this form to clear IT equipment. Ensure all details are accurate and up to date.
Full Name
*
First Name
Last Name
Department
*
Position/Title
Equipment Type
*
Please Select
Laptop
Desktop Computer
Monitor
Mobile Device
Docking Station
Other
Equipment ID / Serial Number
*
Equipment Condition
*
Please Select
Good
Fair
Damaged
Missing Accessories
Accessories Returned
Charger
Mouse
Keyboard
Bag/Case
Other
Date of Clearance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Remarks (optional)
Clearing Officer Name
*
Submit Clearance
Should be Empty: