By signing this form, I agree to the following: I am responsible for the equiptment or property issued to me; I will use it/them in the manner intended; I will be responsible for any damage done (excluding normal wear and tear); upon separation from the company, I will return the item(s) issued to me in proper working order (excluding normal wear and tear); I will reimburse any items issued to me up to $100 that are damaged or lost at my expense; I authorize a payroll deduction to cover the replacement cost of any item issued to me that is not returned for whatever reason.