Device Check-In/Check-Out Log Form
Device Check-In/Check-Out Log Form. Use this form to record device assignments and returns. Please complete all required fields to maintain an accurate log.
Device Name
*
Device Serial or Asset ID
*
Person Responsible (Full Name)
*
First Name
Last Name
Assignment Type
*
Check-Out
Check-In
Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Device Condition
Please Select
Excellent
Good
Fair
Damaged
Other
Notes (optional)
Submit Log Entry
Should be Empty: