IT Equipment Checkout Form

IT Equipment Checkout Form

Please fill out this form completely to request the checkout of IT equipment.

Name

    Email

    Please provide your email address.

      Phone Number

        Job Title

          Department/Team

            Date of Checkout Request

              Equipment Requested

              Select all that apply.

                • Laptop

                • Desktop

                • Mobile

                • Monitor

                • Keyboard with Mouse

                Equipment Checkout Details

                List the serial numbers, names, checkout duration, and other checkout details of the equipment if applicable.

                Serial Number

                Equipment Name

                Checkout Duration

                Purpose of Checkout

                Equipment Condition

                Additional Notes or Requests

                Provide any notes, comments, or requests.

                  Signature

                  Name:

                  Date:

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