Business Check-Out
Business Check-Out
Please ensure all information is accurate before submitting the form.
I. Check-Out Details
|
Purpose of Check-Out |
|
|
Date of Check-Out |
|
II. Personal Information
|
Name |
|
|
Your Department |
|
|
Your Position |
|
III. Date and Time
|
Check-Out Date: |
|
|
Check-Out Time: |
|
IV. Items to be Checked Out
Equipment
Please select the equipment/items you are checking out:
-
Laptop
-
Mobile Phone
-
Tablet
-
Other (please specify: [Other Equipment])
Accessories
Please select any accessories needed:
-
Charger
-
Mouse
-
Headset
-
Other (please specify: [Other Accessories])
V. Condition
Equipment Condition
Please assess the condition of the checked-out items:
-
Good
-
Fair
-
Poor
|
Additional Comments |
|
VI. Signature
I hereby acknowledge that I have received the above-mentioned items and that they are in the stated condition.
[Your Name]
[Date]
VII. Approval
Supervisor Approval
[Supervisor's Name]
[Date]
VIII. Return
Return Date
|
Specify the date by which the items must be returned: |
|
Instructions:
-
Please fill out all sections of this check-out form accurately.
-
Ensure that all selected items are accounted for before leaving the premises.
-
Any damage or discrepancy should be reported immediately to the supervisor.
-
Return all checked-out items by the specified return date to avoid penalties or fines.
