Southern Humboldt USD | E 3512 Business and Noninstructional Operations
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 .
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.
Exhibit SOUTHERN HUMBOLDT JOINT UNIFIED SCHOOL DISTRICT
version: March 25, 2010 Miranda, California