EQUIPMENT CHECKOUT FORM

RENTER INFORMATION

Company Name:

Contact Person:

Production Name:

Phone Number:

Email Address:

Billing Address:

RENTAL PERIOD

Checkout Date:

Expected Return Date:

Actual Return Date:

EQUIPMENT INVENTORY

Item #	Description	Make/Model	Serial Number	Condition Out	Condition In
1
2
3
4
5
6
7
8
9
10

ACCESSORIES & CASES

Accessory Description	Quantity	Checked Out	Returned
		☐	☐
		☐	☐
		☐	☐
		☐	☐
		☐	☐

CHECKOUT VERIFICATION

All items inspected:

Yes No

All items functional:

Yes No

Insurance verified:

Yes No

RETURN VERIFICATION

All items returned:

Yes No - Missing items listed below

Items in acceptable condition:

Yes No - Damage noted below

SIGNATURES

Renter Signature (Out):

Date/Time:

Staff Signature (Out):

Date/Time:

Renter Signature (Return):

Date/Time:

Staff Signature (Return):

Date/Time: