EMPLOYEE EQUIPMENT AGREEMENT

EMPLOYER.

Employer: {{ organization.name }}

Manager: [Manager’s NAME] [Manager Employee ID]

EMPLOYEE INFORMATION.

Name: {{ employee.first_name }} {{ employee.last_name }}

Address: {{ employee.address_line_1 }}, {{ employee.address_line_2 }}

Employee ID #: {{ employee.employee_id }}

Designation/Position: {{ employee.designation }}

EQUIPMENT INFORMATION.

Make: [EQUIPMENT MAKE]

Model: [EQUIPMENT MODEL]

Serial #: [EQUIPMENT SERIAL NO.]

Additional Description: [ADDITIONAL DESCRIPTION]

TERMS & CONDITIONS.

By signing this form, I, the employee, acknowledge the equipment above is in working order and that I agree to the following terms:

1. The equipment is to be used for company purposes only;
2. If the equipment is damaged (excluding normal wear and tear), lost, or stolen outside of company premises or off company time I am responsible for any repair or replacement costs; and
3. Upon separation from the company, I will return the equipment in good working order. If I fail to return the equipment upon separation from the company, or if it is damaged (excluding normal wear and tear), I authorize a payroll deduction to cover any replacements costs the company might incur.

4. [Add terms according to your organization and the equipment type]

Employee Signature: .....................

Date: .................................................

Name: ...............................................