Equipment Authorization Form

Equipment Authorization Form

Please fill out this form to complete your authorization request.

Employee/Requestor Information

Name

    Department

      Job Title

        Employment ID

          Phone number

            Equipment Details

            Equipment Name/Description

              Serial/Asset Number

                Purpose of Use

                  Start Date

                    End Date

                      Terms and Conditions

                      1. The authorized individual must use the equipment solely for company-approved purposes.

                      2. The equipment must be returned in the condition it was issued, except for normal wear and tear.

                      3. Any damages, loss, or misuse of the equipment must be reported immediately.

                      4. The company reserves the right to revoke authorization at any time.

                      Date:

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