Equipment Checkout

Record equipment handed to staff. The person receiving it signs on screen and gets a signed receipt.

Type

CheckoutEquipment going out to staff ReturnEquipment coming back to IT

School or building*

Help desk ticket # A note with the receipt link is added to the ticket.

PO #

Many of the same item

QtyItem / modelSerial number(s)

This is a loaner (it must come back)

Condition*

Reason for return

Received back by*

Delivered by

Email a copy Each address gets its own email with the signed PDF.

Notes

By signing, I acknowledge receipt of the equipment above and accept responsibility for its care.

Name of person receiving*

Date

Sign here*

Sign with finger, stylus or mouse