eStout Student Laptop Program: Sample Laptop Receipt Acknowledgement

Sample Laptop Receipt Acknowledgement

Students sign a receipt acknowledgement at the time of laptop pickup

SAMPLE

eSTOUT LAPTOP RECEIPT ACKNOWLEDGEMENT

Except for ordinary wear and tear, student must return all equipment to the University in the same condition as it was received, to the location(s) specified by the University. The student is responsible for all damaged, missing, stolen or lost equipment. Costs for parts and labor associated with damages and/or replacement equipment will be charged to the student's University account in accordance with the eStout Student Laptop Computer Agreement.

UNDER NO CIRCUMSTANCES IS THE COMPUTER OR PERIPHERAL'S COVER TO BE OPENED OR MODIFIED WITHOUT PRIOR AUTHORITY.

The items provided by the University on this agreement will be used only by the designated individual and only for the purpose for which it was manufactured and intended. Subleasing of any and all equipment is prohibited.

By signing this agreement, the student acknowledges receipt of ALL equipment listed on this agreement and that all equipment is received in good condition. VERIFY AND CHECK ALL EQUIPMENT

Equipment List:  (All items must be returned)

Qty 1:Description:  Computer Model
Model #:Model Number
Serial #:Serial Number
Asset #:Asset Tag Number

Qty 1:Power Adapter
Qty 1:AC Power Cord

BY SIGNING THIS AGREEMENT, STUDENT AGREES THAT HE/SHE HAS READ, UNDERSTANDS, AND AGREES WITH ALL THE TERMS, CONDITIONS AND OBLIGATIONS INDICATED ON THIS DOCUMENT AND THE GOVERNING DOCUMENT, "UW-STOUT eSTOUT STUDENT LAPTOP COMPUTER AGREEMENT".