Loan Request Form: Auxiliary Information Technology

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Equipment Short-Term Loan Request Form

Name:

Username:

Department:

Date to pick up equipment:

Expected date/time of return:

Intended use of equipment:

Intended location of equipment:

Additional information: (optional)

Please select equipment and enter quantity needed:

Desktop .................................... Quantity:

Laptop ...................................... Quantity:

Laptop (with Adobe Suite) ........... Quantity:

Projector ................................... Quantity:

Screen ...................................... Quantity:

Switch ...................................... Quantity:

Terms and Conditions:
I understand that Auxiliary Information Technology provides such equipment and/or devices for work-related purposes only. I agree to read equipment operating manuals (where applicable) and follow the instructions provided. AIT expectations are that I will return the equipment by the due date that was agreed upon. If an emergency arises and the expected date of return changes, I will notify the office as soon as possible at (812) 855-5924.

I agree to the terms and conditions listed above.

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