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Employee Technology Device Damage or Loss Report Form (2015 ...

Employee Technology Device Damage or Loss Report Form (2015 ...-2025

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The document is an Employee Technology Device Damage or Loss Report Form used by school or department administrators to report incidents involving employee devices. It collects information about the employee, device details, the nature of the incident (damage, loss, or theft), and repair costs. Employees can choose to use insurance coverage or pay for damages directly. The form emphasizes responsibility for lost or damaged devices and outlines procedures for reporting and payment.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the section for the School/Dept. Administrator. Enter the employee's name, school/department, report taker's name, and date.
Provide details about the device including make/model and serial number. Indicate whether the device is insured and if there have been previous claims.
Specify if the device is damaged, lost, or stolen. If stolen, remember to attach a copy of the police report.
In the description field, detail the cause of damage, loss, or theft including location and any witnesses.
Fill in repair information and costs associated with repair or replacement as applicable.
The employee must then complete their section by providing their name, phone number, signature, and date.
Finally, select an option regarding payment election for damages or losses and initial accordingly.

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What is the equipment damage or loss report?

An Equipment Damage Report is a form that is used to document any type of damage or loss sustained by machinery, equipment and tools. The report would usually include details on the incident, information on the damaged equipment, risk assessments, and recommendations made by the site personnel.