EQUIPMENT LOAN FORM
I assume the responsibility for the following district equipment:
Description ID Number
______________________________________________________
______________________________________________________
______________________________________________________
School-related purpose: (Note: items are not for personal use)
______________________________________________________
______________________________________________________
______________________________________________________
I will return the above equipment to ___________________________
(administrator or designee)
no later than ___________________________.
(date)
In borrowing the items listed above, I assume responsibility for any loss of or damage to the equipment or materials. If any items are damaged or lost, I will pay the cost of repairs or replacement.
Signed: ___________________________
Date: ___________________________
Approved: ___________________________
Date: ___________________________
Exhibit LANCASTER SCHOOL DISTRICT
version: November 6, 2007 Lancaster, California