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 UKIAH UNIFIED SCHOOL DISTRICT
version: November 12, 2013 Ukiah, California