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