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Headset Acceptance Form

I [employee name] acknowledge receipt of 1 X headset and understand that the headset is for my own personal use, and is my personal responsibility to ensure I have it to use on shift every day.

In the event that the headset is lost I understand there is a £60 replacement charge, which will be deducted from my monthly salary should it need to be replaced.

Signature *

Draw your signature below, or switch to typed signature.

Form submitted

Your headset acceptance has been securely recorded.

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