ACKNOWLEDGEMENT OF RECEIPT OF COMPANY PROPERTY
MU PP 02-03 Attachment A, Rev. 0
Employee Name: __________________________________ Position Number (Engraved on Tools): ______________
Description of Tools, Equipment and/or Property Issued to Employee:
Qty
Description
Qty
Description
Qty
Description
By signing this form, I agree to the following:
• I am responsible for properly securing the above listed equipment/tools/property to prevent theft or damage.
• I understand the equipment/tools/property being issued to me are the property of Marshall University and are
only to be used when performing work pertaining to my position at Marshall University. I understand the
equipment/tools/property assigned to me are not to be taken home and are not to be used for personal use.
• I will use the equipment/tools/property issued to me in the manner intended.
• Upon separation from Marshall University (whether voluntary or involuntary), I will return the equipment/tools/
property issued to me.
• I understand routine audits will be performed to ensure I am maintaining the equipment/tools/property that
have been issued to me in proper working order (excluding normal wear & tear).
Employee Signature: __________________________________________ Date: _______________
Supervisor/Manager Signature: __________________________________ Date: _______________
