Self-Service Check-In Kiosk Usage Log Form
Please complete this form to log your use of the self-service check-in kiosk. All information should be accurate to ensure proper tracking and maintenance.
Full Name
*
First Name
Last Name
Employee or Visitor ID
*
Date of Use
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Use
*
Hour Minutes
AM
PM
AM/PM Option
Kiosk Location
*
Please Select
Main Lobby
East Wing
West Wing
Conference Center
Other
Kiosk ID/Number
*
Purpose of Use
*
Check-In
Check-Out
Visitor Registration
Badge Printing
Other
Actions Performed
*
Checked In
Checked Out
Printed Badge
Updated Information
Assisted Another User
Other
Duration of Use (minutes)
*
Issues Encountered (if any)
Additional Comments or Feedback
Submit Log
Should be Empty: