Equipment Sign-out Form - Free Download
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EQUIPMENT SIGN-OUT FORM Office of Student Development
I hereby certify that my name and room number are correct. I understand that by signing out the equipment, I assume
responsibility for its condition, and will accept any charges that go towards replacement or repair in the event that the
equipment is lost or damaged.
NOTE: ALL EQUIPMENT MUST BE RETURNED BY 3:00AM. Residents failing to return equipment by 3:00am will
have to wait until the SM Booth opens the following evening to collect their ID cards. No exceptions.
Date
Out
Time
Out
Resident’s Name
(please print)
Room
Number
Equipment
(be specific: vacuum, pool, etc)
Staff
Initials
Date
In
Time
In
Staff
Initials
