Returned Tools and Materials Endorsement Form
NAME:
DEPARTMENT:
CLIENT NAME:
PROJECT LOCATION:
This is to acknowledge receipt of the tools and/or equipment and materials that was returned to me in good working condition or as specified
condition on the "remarks" with the following details:
Tools and Equipment Details:
ITEM NO. QUANTITY TOOLS SPECIFICATION REMARKS
MATERIALS (kindly indicate if already used)
DESCRIPTION OF ITEM (W/ COMPLETE
ITEM NO. QUANTITY UNIT SPECIFICATION) REMARKS
Returned by: Received By:
Print Name and signature / Date Print Name and signature / Date