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Asset Damage Declaration

An asset damage declaration is the employee's own signed account of how a company asset issued to them, such as a laptop, phone or tool, was damaged. It sits alongside IT's technical assessment and helps the company decide on repair, warranty or insurance claims and any recovery under policy, fairly and on facts.

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[Company Logo][Company Name]

ASSET DAMAGE DECLARATION

Ref. No.:
[Reference Number]
Date:
[Date]
Ticket No.:
[Ticket Number]

Part A: Employee Details

Employee Name[Employee Name]
Employee ID[Employee ID]
Designation[Designation]
Department[Department]
Reporting Manager[Reporting Manager]

Part B: Asset Damaged

Asset IDAsset TypeMake / ModelSerial / IMEI No.Date IssuedIssue Form Ref.
[Asset ID][Laptop / Mobile / Tool][Make / Model][Serial Number][DD/MM/YYYY][Reference Number]

Part C: Employee's Account

Date and time of damage[DD/MM/YYYY] [HH:MM]
Place: Office / Home / Client site / In transit / Other – [Details]
Was the asset being used for official work? Yes / No
Nature of damage: Screen / Body / Liquid / Not powering on / Other – [Details]
Witnesses (if any)[Names]

Description in my own words:
[Describe how the damage happened.]

  • Photographs attached
  • Asset handed over to IT for inspection on [DD/MM/YYYY]

Part D: Employee Declaration

I, [Employee Name], declare that the information given above is true to the best of my knowledge. I have not attempted any unauthorised repair. I understand that the company will review the matter as per its asset policy, and I will be informed of the outcome and given an opportunity to respond before any recovery is decided.

Employee
[Employee Name]
Date: [Date]

Part E: IT / Technical Assessment

Damage observed[Details]
Consistent with employee's account: Yes / No / Unclear
Under warranty: Yes / No – Claim No. [Claim Number]
Insurance claim: Yes / No – Claim No. [Claim Number]
Repair / replacement estimate: ₹[Amount]
Data recovered: Yes / No / Not applicable

Part F: Review Decision

Decision: Repair at company cost / Warranty / Insurance / Partial recovery ₹[Amount] / Full recovery ₹[Amount]
Reason for decision[Reason]
Employee comments[Comments]
Assessed by
[IT Executive Name]
IT Department
Date: [Date]
Reviewed by
[HR Name]
Date: [Date]
Approved by
[Authorised Signatory]
Date: [Date]

What this template includes

  • Asset ID, model and serial number of the damaged item
  • Employee's own description of how the damage happened
  • Date, place and circumstances
  • Whether the asset was being used for official work
  • IT or technical assessment of damage and cost
  • Decision on repair, warranty, insurance or recovery after review

When to use it

  • A laptop screen cracks or liquid spills on a keyboard
  • A company phone is dropped or water-damaged
  • A field tool or instrument breaks during use
  • Damage is noticed at the time of asset return

How to customise this template

  1. 1Link it to your asset policy's damage and recovery section
  2. 2Add a field for the warranty or insurance claim number
  3. 3Set who reviews the declaration and decides on recovery
  4. 4Allow the employee to attach supporting evidence
  5. 5Use the company property damage report for premises or shared assets

HR tips

  • Ask for the declaration soon after the damage is reported
  • Let the employee write in their own words; do not pre-fill blame
  • Check warranty and insurance before considering any recovery
  • Communicate the decision in writing with reasons

Any recovery from salary or F&F must follow applicable wage laws, the company policy and principles of fairness; consult a legal adviser where needed.

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Frequently asked questions

Is an employee always liable for a damaged company laptop?+

No. Accidental damage during normal official use is often covered by warranty, insurance or policy. Liability, if any, usually depends on negligence and what the asset policy says.

What should an asset damage declaration include?+

The asset details, a factual description of how the damage happened, date and place, any witnesses or photos, and the employee's signature.

Can the employee disagree with the IT assessment?+

Yes. The form should allow comments, and the reviewing authority should consider them before deciding on any recovery.