Donation Product Waiver

Please fill out this for in its entirety and ensure that a Safety and Security co-worker has signed off, before leaving the facility. Please note: S/S reserves the right to refuse any co-worker this donation at their discretion.

Title Page

I, (Co-worker name) agree that my acceptance of the donated products/services as described above shall fully discharge and release IKEA Canada Limited Partnership and IKEA Distribution Services CA Incs., its officers, shareholders, affiliates, (including partners), advertising and promotional agencies and/or independent judging organizations, from any and all claims, damages, actions or causes of actions whatsoever which I, my heirs, executors or administrators may now or hereafter have against them or any part of them in respect to the acceptance of the donated products/parts.

Co-worker name
Quantity
Product name
Description
Article number

I hereby declare that:

I had no agency in placing this item for donation initially nor did I collaborate with other co-workers to hold this item specifically for myself.
I acknowledge hat the item(s) I have taken, have no monetary value and cannot be resold/ returned to IKEA Canada through its Return and Exchanges, Sell back program or any other affiliated organizations.
I understand that no substitutions for, or transfer of the above listed items will be allowed except at the full discretion of IKEA.
I am 18 years of age or older.
Co-worker signature
Signed at the date of at IKEA South Common