Equipment Check Out Agreement
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1
2ABC SCHOOL DISTRICT
EQUIPMENT CHECK OUT AGREEMENT
This equipment is made available for authorized use through the ABC School District.
This agreement places full
responsibility on the borrower for the safe operation and prompt return of the computer. The borrower’s signature will
indicate acceptance of the terms of the Agreement.
Laptop computers will be loaned for school use only.
The computer will only be operated by the undersigned borrower.
No unlicensed software will be permitted on district-owned computers.
No personal software will be permitted on district-owned computers without prior written approval.
I understand that this laptop computer has Deep Freeze software loaded and it can be used at your discretion.
I understand that I must adhere to the District’s Electronic Information Services Agreement (attached).
All Internet sites visited on this computer will be for professional purposes relating to my responsibilities in the ABC
School District. Unauthorized use may result in disciplinary action.
I understand I must immediately report any mechanical problems with the computer to the ABC Adult School Network
Analyst. No attempt should be made to repair the computer by the borrower.
By signing below, I assume full responsibility for the prompt return of the computer in good condition.
If the computer is lost or stolen while in my possession, I must immediately file a police report and notify an ABC Adult
School Administrator. I must provide the ABC Adult School with the police case number for the stolen property.
If the computer is damaged while in my care, I understand that I shall immediately notify an ABC Adult School
Administrator of the damage and how it occurred.
I understand that if I fail to return the District’s laptop computer assigned, I am liable for the cost of a replacement
computer, as well as all accessories, the case and programs. All assigned laptop computers must be checked in and
inventoried at the end of the year. Employees should make a backup copy of all personal data on the machine in the
event the disk is re-imaged with updated operating systems and programs.
I understand that food and drink are not allowed near the laptop computers.
This check out form will be valid for the computer and equipment itemized below from _________________ through
_______________. I understand that I will be able to take the computer home to work on school business.
ABC Barcode number: ____________________________ Laptop serial number: ____________________________
no
no
no
Power cord: yes
Carrying case: yes
Network cable: yes
I agree to the terms and conditions outlined above.
Borrower’s Name: _________________________________________
Site: ______________________
Signature: _______________________________________________
Date: _____________________
RETURNED:
no
Laptop computer and equipment returned on: ________________
Computer is in working order: yes
no
no
no
Power cord: yes
Carrying case: yes
Network cable: yes
Received by: ____________________________________________
Site: ______________________
Signature: _______________________________________________
Date: _____________________
\\fyall\laptopcontract\LAPTOP SIGNSHEET.DOC
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