• Employee Electronic Device Agreement Form

• Employee First and Last Name
• Department
• Position
• Job Description
• You are receiving the following electronic devices:

  • laptop
  • cellular device
  • headset

   
  

  I, , accept the following terms and conditions:

  
  

  • I acknowledge that I am accountable for these company owned electronic devices during the time it is in my possession.
    
  • I understand that I am obligated to maintain the devices in good condition throughout its usage and until it is returned.
    
  • I am the sole authorized individual permitted to access and utilize these electronic devices. Unauthorized access to these devices constitutes a breach of company policy.
    
  • In case of loss, theft, or damage, it is required to promptly report the incident to the police within 24 hours. Additionally, a copy of the police report must be submitted to the company.
• Signature*
• Date*

• ---

• Model of Phone (This field is for internal use only.)
• Model of Laptop (This field is for internal use only.)
• Model of Headset (This field is for internal use only.)
• Was power adapter/charger provided for each? (This field is for internal use only.)
  Yes No

  Which device was a power adapter/charger not provided?
• Signature of Company Representative