Laptop Receipt Acknowledgment Form
Please complete this form to officially acknowledge the receipt of your assigned laptop.
Recipient Full Name
*
First Name
Last Name
Recipient Email Address
*
example@example.com
Department or Role
*
Laptop Make/Model
*
Laptop Serial Number or Asset Tag
*
Date of Receipt
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Condition of Laptop Upon Receipt
*
New
Good
Fair
Needs Attention
Issuer Name (Person Handing Over Laptop)
*
First Name
Last Name
Additional Comments or Notes
Recipient Signature
*
Acknowledge Receipt
Acknowledge Receipt
Should be Empty: