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Employee Receipt for Company Property

Employee name:
Employee number:
Social Security number:

I acknowledge receipt of the below listed company property. I
agree to maintain the property in good condition and to return
it when I terminate employment with the company or when
requested by my supervisor. In addition, if I no longer need any
of the items, I will report this information to my supervisor. I
agree to notify the company if any of the items are damaged,
destroyed, or lost.

Receipt Returned

Date Issued
Serial No.
Returned to:

Signature of Employee