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Riverside USD |  E  3512  Business and Noninstructional Operations

Equipment   

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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 RIVERSIDE UNIFIED SCHOOL DISTRICT

version: July 17, 2018 Riverside, California