Employee iPad Return Form
Arp Independent School District
Employee Information |
Name (Please Print): | |
Campus & Position: | |
Date of Return: |
Clear Email, Passcode, & iCloud |
Procedure | EMPLOYEE Initials | TECH STAFF Initials | ||
Email Accounts Deleted | ||||
Passcode Deleted | ||||
iCloud Not Set Up or Deleted | ||||
iPad Reset | ||||
Equipment Returned |
Item | EMPLOYEE Initials if Returned | TECH STAFF Initials if Returned | Notes on condition or if not returned | Replacement Cost |
iPad AISD Barcode:__________ | $383.00 | |||
iPad Mini AISD Barcode:__________ | $334.00 | |||
Power Brick
| $17.50 | |||
USB Sync/Charge Cable
| $17.50 | |||
OtterBox Defender Case with Screen Protector & Stand | $50.00 (iPad) $37.88 (iPad mini) | |||
Pleather Cover | $39.99 | |||
Apple iPad Mini Smart Cover | $36.00 |
Each employee who was issued an iPad signed the Arp Independent School District Employee iPad Use Agreement. From the iPad Use Agreement:
If I fail to return the iPad, charger, or case upon request or upon separation as an employee of the district, I understand that the cost of replacing the iPad, charger, and case at the time I fail to return it will be deducted from my paycheck.
Employees who fail to return issued items may choose to write a personal check to Arp ISD for the replacement cost of those items.
Amount Owed:__________________________ Deduct from Paycheck? Yes / No / Returned Everything
Personal Check #:________________________
Signatures |
Employee:_____________________________ Technology Staff:_______________________________
Date:__________________________________ Date:_________________________________________