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Equipment Check Out Form

Use this form to request approval to check out lab equipment. This form must be completed and approved before the equipment can be checked out.

Each piece of equipment requires its own form.

NOTE: If equipment is not returned, or has been damaged, a graduation hold will be placed on the student account, and repair/replacement costs will be assessed to his or her account.

Equipment Description

Date/Time of Loan

Acknowledgement Statement

By submitting this form, I acknowledge that I will be solely responsible for the checked out equipment. I understand that failure to return the equipment in the same state as it was checked out, could result in a monetary penalty.

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