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IT Equipment Receipt & Agreement
Please complete this form when you are assigned a New Device. Complete this 2x if you have multiple devices (i.e. laptop and monitor)
Name
*
*
Email
*
Date Received
*
Device Model
*
Accessories Received
*
A
Laptop Charger
B
Laptop Stand
C
External Mouse
D
External Keyboard
E
External Monitor
F
Headphones
G
USB or HDMI Dongle
Laptop Initial Condition
*
Upload Photo
Click to choose a file or drag here
Acceptable Use Agreement
*
I agree to the
IT Equipment Policy
.
Yes, I have reviewed and agree to the policy.
Signature
*
Signature
Submit
