List every item collected. Attach additional sheets if more than 15 items — each sheet must be initialled by both parties.
| # | Item type | Make / Model | Serial number | Condition (W/F)* | Data-bearing? (Y/N) | Notes |
|---|---|---|---|---|---|---|
| 1 | ||||||
| 2 | ||||||
| 3 | ||||||
| 4 | ||||||
| 5 | ||||||
| 6 | ||||||
| 7 | ||||||
| 8 | ||||||
| 9 | ||||||
| 10 | ||||||
| 11 | ||||||
| 12 | ||||||
| 13 | ||||||
| 14 | ||||||
| 15 |
*W = Working, F = Faulty. Extra sheets initialled: ______ (count)