Equipment Return Sheet Template

• Employee Name

• Department

• Prepared by

• Date & Time

  Date
• Location
  Address

Returned Equipment

• Click "Add"

Item

• Item/ Equipment

• Quantity

• Reason for Returning the Equipment

• Equipment Condition

  No damage

  Slightly impaired

• Policies and agreement on equipment issuance were followed?

  Yes

  No

  N/A

Issuance

• Previous Personnel who Approved Equipment Issuance

• Return Date

  Date

• Employee Number (if available)

• Employee's Full Name & Signature

  Sign

Completion

• Additional Notes

• Full Name & Signature of Approver

  Sign