ACCESS BADGE RETURN SLIP

 

EMPLOYEE INFORMATION
Name: [Your Name]	Department: Sales
Company Name: [Your Company Name]	Employee ID: TQ-00112

ACCESS BADGE INFORMATION
Type: Standard	Badge Number: AB-00112	Expiry Date: April 15, 2052

ACCESS BADGE RETURN DETAILS
Reason for Return: Resignation	Return Date: September 30, 2053	Return Location: HR Department

ACCESS BADGE RETURN CHECKLIST

Access Badge             Card Holder             Badge Lanyard             Keys or Fobs

 

ADDITIONAL COMMENTS

The employee requested to keep keys for the locker.

 

SIGNATURES

 

Employee:                                                                                              Authorized Personnel:

 

(signature)                                                                                            (signature)

[EMPLOYEE NAME]                                                                           [EMPLOYEE NAME]

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