This form you can print automatically from Handy Equipment Manager / Check Out EQUIPMENT CHECKOUT FORM ---------------------------------------------------------------------------------------- Date of Check out: FIELD Date of Scheduled Return: FIELD Person: FIELD ID Number: FIELD Phone: FIELD Email: FIELD Address: FIELD FIELD FIELD FIELD Reason: FIELD In accordance with ORGANIZATION policy, the above equipment will be used exclusively for ORGANIZATION related business. The above equipment will be returned by the scheduled date of return. Signature: _________________________ Date: _________________________ Equipment Returned ------------------------------------ Date: _____________________________________ Condition: _____________________________________ Signature for Equipment Returned: _______________________________________ Printed Name: _________________________________________ Received by: ____________________________________________