EMPLOYEE ACCEPTANCE OF RESPONSIBILITY FOR MOVEABLE

PROPERTY AND ACKNOWLEDGMENT OF PROPERTY USE

 

The receiving Employee certifies job duties require the use of this property to perform business at this location. Employee is responsible for the following item(s) and agrees to the following terms and conditions.

 

1. Upon request, employee is responsible for the return of the equipment in proper working condition.

 

2. Employee will report any lost, stolen, or damaged equipment to his/her immediate supervisor immediately. The supervisor is to immediately report to the I/T Manager, along with the date and details of loss or damage. A police report should be obtained for stolen equipment.

 

3. Employee is "Liable for the payment of damages whenever his wrongful or grossly negligent act or omission causes any loss, theft, disappearance, damage to or destruction of property for which he/she is responsible as provided herein and such damages may be recoverable in a civil suit therefore prosecuted on behalf of the company.

 

4. On or before the designated return date, employee will be responsible for returning the property in proper working condition to their immediate supervisor.

 

5. Any Manheim official, line supervisor, property control personnel or their designee may, at any time, inspect the equipment and/or property for inventory purposes.

 

6. Employee will remain responsible for the property until release of responsibility is approved by their supervisor and return of equipment is acknowledged.

 

DATE OF ISSUANCE:


ITEM DESCRIPTION:

MAKE/MODEL NO. SERIAL #:


Signature of Receiving Employee _______________________________________

 

Printed Name: