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Property Sign Out Form

This document is a receipt for company property returned by an employee. It lists various items the employee received and acknowledges their responsibility to return or pay for any unreturned items. The employee and supervisor must both sign agreeing to the terms.

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Thuy Doan
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163 views1 page

Property Sign Out Form

This document is a receipt for company property returned by an employee. It lists various items the employee received and acknowledges their responsibility to return or pay for any unreturned items. The employee and supervisor must both sign agreeing to the terms.

Uploaded by

Thuy Doan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Receipt/Return of Company Property

Employee Name: _____________________________________ SS#: ____________________________________

Worksite Employer: ____________________________________ Company Code: ____________ Date: __________

Date Date
Item Value Item Description
Issued Received

Company ID Card/Badge

Access Card/Time Clock Card

Office Keys

Beeper

Cellular Phones

Tools/Supplies

Uniforms

Audio/Visual Equipment

Company Credit Card

Company Check Book

Other:

I acknowledge that I have received the company property indicated above. I understand that it is my responsibility to
keep the above described property secure so it is not lost, stolen, damaged or otherwise rendered unusable or
serviceable except through normal wear and tear. I understand that it is my responsibility to return the above
described property or any substitution/replacement which I may have received upon the end of my employment and
that failure to do so will result in a deduction of its fair value or replacement cost from my paycheck, final or otherwise,
for each item not returned. I authorize ADP TotalSource, Inc. to deduct for any unreturned or damaged property.
Nothing in this authorization shall be construed to limit the at-will employment relationship between myself and
ADP TotalSource.

Employee Signature: _____________________________________________ Date: _______________________

Supervisors Signature: ___________________________________________ Date: _______________________

2001 ADP TotalSource Services, Inc. 0144-0801

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