Free 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
The authorized individual must use the equipment solely for company-approved purposes.
The equipment must be returned in the condition it was issued, except for normal wear and tear.
Any damages, loss, or misuse of the equipment must be reported immediately.
The company reserves the right to revoke authorization at any time.
Date:
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