This form you can print automatically from Handy Equipment Manager / Check Out ORGANIZATION NAME ORGANIZATION ADDRESS ORGANIZATION PHONE ORGANIZATION WEB ORGANIZATION EMAIL Equipment Release Form ---------------------------------------------------------------------------------------- By signing below, I agree to accept liability for the equipment listed below: Equipment ------------------------------------ Description of Item: FIELD Model: FIELD Model Number: FIELD Condition: FIELD Cost ($): FIELD Barcode Number: FIELD Borrower ------------------------------------ Person Name: FIELD Phone: FIELD Email: FIELD ID Number: FIELD Release -------------------- Release Date: FIELD Due Date: FIELD Signature: _________________________ Date: _________________________ Equipment Returned ------------------------------------ Date: _____________________________________ Condition: _____________________________________ Signature for Equipment Returned: _______________________________________ Printed Name: _________________________________________ Received by: ____________________________________________