Employment Property Issue Receipt

Employment Property Issue Receipt

Employee Personal Information

Position Information

Start Date:

Property Issuance - Itemized

The following company property is issued to the above-named employee subject to the terms and conditions below. Employee acknowledges receipt and responsibility for each listed item.

Terms, Conditions and Employee Responsibilities

By signing this receipt, Employee acknowledges receipt of the listed property and accepts responsibility to maintain the property in good condition, to use the property only for authorized business purposes, and to comply with company policies governing information security and acceptable use. Employee will not permit others to use or take the issued property without prior written authorization from the company.

Return on Termination or Transfer: Employee agrees to return all company property in the same condition as issued, normal wear and tear excepted, upon termination, transfer, leave of absence, or upon request. The company may recover repair or replacement costs from Employee where permitted by law.

Loss, Theft, Damage: Employee must report loss, theft, or damage immediately to their supervisor and to the IT/security department. Employee may be required to complete an incident report and cooperate with investigations. The company reserves the right to require reimbursement for loss or damage resulting from Employee's negligence or willful misconduct to the extent allowed by law.

Data and Confidentiality: Devices issued may contain confidential company data. Employee must protect data, follow encryption and password requirements, and notify the company promptly of any suspected data breach. Employee will not remove company data or licensed software from company property except as expressly authorized.

Inspections and Access: Employee consents to reasonable inspection of company property for maintenance, security, or compliance. The company may, subject to law, access device contents for investigation or to secure company interests.

Acknowledge acceptance of the terms above:

I authorize the company to charge for repair or replacement costs to my final paycheck or other compensation where permitted by law:

Applicant Certification & Authorization

Certification: I certify that I have received the property listed above in the condition stated (unless otherwise noted) and that I understand and will comply with the company's policies and the responsibilities described in this document.

Background and Employment References: I authorize the company to contact my prior employers and references and to conduct background and security checks as required for employment and continued access to company property.

I authorize background and prior employer contact:

Employment History

Provide at least two prior employers.

Start Date: End Date:

Start Date: End Date:

Education

Graduation Date:

References

Please provide three professional references.

Legal Notices

At-Will Employment: Nothing in this property receipt alters the at-will employment relationship between Employee and Company. Employment may be terminated by either party at any time for any lawful reason, unless a separate written agreement provides otherwise.

Equal Opportunity: The company provides equal employment opportunities and will not discriminate in employment matters on the basis of legally protected characteristics. All employment-related decisions are based on business needs, job requirements and individual qualifications.

Acknowledgement and Applicant Certification

I certify that all information provided on this form is true and complete to the best of my knowledge. I understand that providing false information may result in disciplinary action up to and including termination.

I further acknowledge that I have read, understand, and agree to the terms and conditions set forth in this receipt and in the company policies referenced herein.

Certification:

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