JASKO - Contractor Property Receipt

Contractor Property Receipt — OO-FRM-005

JASKO ENTERPRISES, INC. · FORM OO-FRM-005 · REV. 0 · EFFECTIVE NOVEMBER 1, 2026

Document JASKO property issued to a contractor entity or approved contractor driver. This record does not create employee status or blanket deduction authority.

PROPERTY ISSUED

☐ Fuel card
☐ ELD device or cable
☐ Camera equipment
☐ Tablet
☐ Charger
☐ Toll transponder
☐ Permit credentials
☐ Trailer keys or locks
☐ Load locks
☐ Straps
☐ Padlocks
☐ Tire chains
☐ Safety equipment
☐ Other property

ACKNOWLEDGMENT

The contractor acknowledges receipt and agrees to safeguard and return the listed property under the controlling agreement. Any charge or offset remains subject to the agreement, applicable law, supporting documentation and any required transaction-specific authorization.

Your information

Contractor driver printed name * Contractor entity * Contractor representative Issue date * Tractor unit * JASKO trailer unit if any Agreement record ID Property issued — Fuel card Property issued — ELD device or cable Property issued — Camera equipment Property issued — Tablet Property issued — Charger Property issued — Toll transponder Property issued — Permit credentials Property issued — Trailer keys or locks Property issued — Load locks Property issued — Straps Property issued — Padlocks Property issued — Tire chains Property issued — Safety equipment Property issued — Other property Condition existing damage and serial numbers * Return instructions Issued by JASKO * Email address * Phone number Date *

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