Company Property Return Form Template

Company Property Return Form

Employee Information

• Employee Name: _______________________

• Employee ID: _______________________

• Department: _______________________

• Position/Title: _______________________

• Last Day of Employment: _______________________

• Supervisor: _______________________

Technology Equipment

Item	Serial/Asset Number	Returned	Condition	Notes
Laptop/Desktop		□ Yes □ No □ N/A
Monitor(s)		□ Yes □ No □ N/A
Docking Station		□ Yes □ No □ N/A
Mouse		□ Yes □ No □ N/A
Keyboard		□ Yes □ No □ N/A
Headset		□ Yes □ No □ N/A
Webcam		□ Yes □ No □ N/A
Speakers		□ Yes □ No □ N/A
Printer		□ Yes □ No □ N/A
External Hard Drive		□ Yes □ No □ N/A
USB Drives		□ Yes □ No □ N/A
Power Adapters		□ Yes □ No □ N/A
Cables		□ Yes □ No □ N/A
Other: _____________		□ Yes □ No □ N/A

Mobile Devices

Item	Serial/Asset Number	Returned	Condition	Notes
Smartphone		□ Yes □ No □ N/A
Tablet		□ Yes □ No □ N/A
Mobile Hotspot		□ Yes □ No □ N/A
SIM Card		□ Yes □ No □ N/A
Phone Charger		□ Yes □ No □ N/A
Other: _____________		□ Yes □ No □ N/A

Access Items

Item	ID/Number	Returned	Notes
Building Access Card/Badge		□ Yes □ No □ N/A
Office/Desk Keys		□ Yes □ No □ N/A
File Cabinet Keys		□ Yes □ No □ N/A
Parking Pass/Card		□ Yes □ No □ N/A
Safe Combinations		□ Yes □ No □ N/A
Security Codes		□ Yes □ No □ N/A
Other: _____________		□ Yes □ No □ N/A

Company Credit Cards/Financial

Item	Account Number (Last 4)	Returned/Cancelled	Notes
Corporate Credit Card		□ Yes □ No □ N/A
Purchasing Card		□ Yes □ No □ N/A
Gas Card		□ Yes □ No □ N/A
Expense Reports Reconciled		□ Yes □ No □ N/A
Petty Cash Returned		□ Yes □ No □ N/A
Other: _____________		□ Yes □ No □ N/A

Documents and Information

Item	Returned	Notes
Company Manuals	□ Yes □ No □ N/A
Customer/Client Files	□ Yes □ No □ N/A
Project Files/Documents	□ Yes □ No □ N/A
Confidential Information	□ Yes □ No □ N/A
Company Intellectual Property	□ Yes □ No □ N/A
Business Cards	□ Yes □ No □ N/A
Other: _____________	□ Yes □ No □ N/A

Uniforms and Equipment

Item	Quantity	Returned	Notes
Uniforms		□ Yes □ No □ N/A
Safety Equipment		□ Yes □ No □ N/A
Tools		□ Yes □ No □ N/A
Company Vehicle		□ Yes □ No □ N/A
Other: _____________		□ Yes □ No □ N/A

Digital Access Revocation (To be completed by IT/HR)

System	Access Removed	Date	Completed By
Email Account	□ Yes □ No □ N/A
Network Access	□ Yes □ No □ N/A
VPN Access	□ Yes □ No □ N/A
CRM System	□ Yes □ No □ N/A
Financial Systems	□ Yes □ No □ N/A
Project Management Tools	□ Yes □ No □ N/A
Client Portals	□ Yes □ No □ N/A
Website Admin Access	□ Yes □ No □ N/A
Social Media Accounts	□ Yes □ No □ N/A
Cloud Storage	□ Yes □ No □ N/A
Other: _____________	□ Yes □ No □ N/A

Missing or Damaged Items

Please list any company property that is missing, damaged, or not returned:

Item	Description of Issue	Replacement Cost	Resolution

Employee Acknowledgment

I certify that I have returned all company property in my possession as indicated above. I understand that failure to return company property may result in deductions from my final paycheck where permitted by law, and/or legal action.

I also acknowledge that I remain bound by any confidentiality, non-disclosure, non-compete, and/or non-solicitation agreements I have signed during my employment.

Employee Signature: __________________________ Date: __________

Company Representative Verification

I verify that the above-listed company property has been returned as indicated.

Name: __________________________ Title: __________________________

Signature: __________________________ Date: __________

Department Approvals

Department	Name	Signature	Date
Direct Supervisor
IT Department
HR Department
Finance Department
Facilities

Note: Please provide a copy of this completed form to the employee and retain the original in the employee's personnel file.