Work From Home Equipment Agreement Form

Work From Home Equipment Agreement Form
Complete this form to acknowledge receipt and responsibility for company equipment used while working from home.
Employee Name
First NameLast Name
Employee Email
example@example.com
Department
Job Title
Equipment Item
Equipment Serial Number or Asset Tag
Condition of Equipment at Issuance
Location Where Equipment Will Be Used (Home Address)
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Receipt
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
I acknowledge receipt of the above equipment and agree to use and care for it responsibly. I understand that I am responsible for returning the equipment in good condition upon request or termination of employment.
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