1. Purpose
This IT Equipment Use and Acknowledgement Agreement establishes the terms and conditions for the issuance, use, care, and return of information technology (IT) equipment owned by JCMC/AMM.
2. Scope
This Agreement applies to all employees, contractors, and authorized users who are issued or granted access to JCMC/AMM IT equipment.
3. Ownership
All IT equipment remains the sole property of JCMC/AMM. Issuance of equipment does not transfer ownership rights to the employee.
4. Acceptable Use
The employee agrees to: Use the equipment for authorized JCMC/AMM business purposes only, comply with all JCMC/AMM IT, security, HIPAA, and confidentiality policies, protect equipment from loss, theft, damage, or unauthorized access. All software installations hardware request must be approved by IT. Immediately report loss, theft, or damage to IT.
5. Care and Maintenance
The employee is responsible for exercising reasonable care in the use and handling of issued equipment. The device shall be maintained in a clean condition and free from dust, debris, or residue during normal use. Normal use is defined as routine, day-to-day work-related handling consistent with the device’s intended purpose. Routine maintenance requirements are minimal and may be satisfied through periodic cleaning with compressed air and approved alcohol wipes, as needed. Damage resulting from negligence, misuse, or policy violations may result in disciplinary action and/or financial responsibility.
6. Security and Data Protection
All data created, stored, or accessed using JCMC/AMM equipment is the property of JCMC/AMM. The employee agrees to follow all security controls, including password protection, encryption requirements, and remote access safeguards.
7. Return of Equipment
The employee agrees to return all issued equipment: Upon separation of employment, upon transfer or role change, if requested, Upon IT request
All equipment must be returned in the condition issued, normal wear and tear excepted.
8. Inspection and Recovery
JCMC/AMM reserves the right to inspect, service, replace, remotely access, or recover equipment at any time in accordance with applicable laws and organizational policies.
9. Acknowledgement
By signing below, the employee acknowledges receipt of the equipment listed, understands this Agreement, and agrees to comply with its terms.
Equipment Issuance Record
Item Description: (FILL IN TEXT BOX BELOW)
Make/Model: (FILL IN TEXT BOX BELOW)
Serial Number: (FILL IN TEXT BOX BELOW)
Condition at issue: (FILL IN TEXT BOX BELOW)
Condition at Return: (FILL IN TEXT BOX BELOW)
Accessories Issuance Record
Item Description: (FILL IN TEXT BOX BELOW)
Make/Model: (FILL IN TEXT BOX BELOW)
Serial Number: (FILL IN TEXT BOX BELOW)
Condition at issue: (FILL IN TEXT BOX BELOW)
Condition at Return: (FILL IN TEXT BOX BELOW)
Signatures
Employee Signature: (FILL IN TEXT BOX BELOW)
Printed Name: (FILL IN TEXT BOX BELOW)
Date: (FILL IN TEXT BOX BELOW)
IT Representative Signature: (FILL IN TEXT BOX BELOW)
Printed Name: (FILL IN TEXT BOX BELOW)
Date: (FILL IN TEXT BOX BELOW)
Date Return: (FILL IN TEXT BOX BELOW)
This agreement is maintained as an JCMC/AMM record.
