Equipment Sign-Out Agreement
Complete this Equipment Sign-Out Agreement Form to document the issuance and expected return of equipment. Please provide accurate details for accountability.
Full Name
*
First Name
Last Name
Department or Role
*
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Equipment Description
*
Equipment Serial or Asset Number
*
Sign-Out Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Expected Return Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Equipment Condition at Sign-Out
*
Please Select
New
Good
Fair
Needs Repair
Other
I acknowledge receipt of the listed equipment and agree to return it in the same condition (except for normal wear and tear) by the expected return date. I understand I am responsible for loss or damage.
*
Submit
Submit
Should be Empty: