Research Corporation of the University of Hawaiʻi

RESEARCH CORPORATION OF THE UNIVERSITY OF HAWAII Acknowledgment of Receipt of Company/Project Property & Financial Obligation Form
Employee Information:
Name: _______________________________ Date: ___________________________
Job Title: _____________________________ Project Name: ____________________
Email: _______________________________ Phone #: _________________________
I hereby acknowledge receipt and assignment of the following Company/Project property:
Office/Building Key (No: Identification/Security Access Card (No: Cellular Phone (Inventory/Serial No: Lap-Top computer (Inventory/Serial No: Uniform (List:
Safety Equipment (List:
Other Equipment:
Other:
Other:
Other:
)
)
) )
) )
Return of Property and close all open financial obligations: In the event of my termination from employment, I will settle all open employee accounts (e.g., cash advances, credit card liabilities, etc.) in full and return all tools and company property (specified above or on attached sheet), upon my last day of work (or as specified by my supervisor). If any property is not returned, I authorize a reasonable value for such items to be deducted from my final paycheck (and if applicable any final reimbursement owed to me).
Employee Signature Date
Original copy – Employee’s RCUH Personnel File Copy – Employee and Employee’s supervisor
RCUH Form O-6
Created 08/11/2005, Revised 10/28/13