Inventory Loan Agreement printable pdf download

INVENTORY LOAN AGREEMENT

AUTHORIZATION FOR OFF-CAMPUS USE

OF UNIVERSITY OF ILLINOIS EQUIPMENT

LOANING DEPARTMENT:_____________________________________DATE LOANED:_________

BORROWER: NAME__________________________________________ CHECK ONE

DEPARTMENT___________________________________ Faculty________

ADDRESS________________________________________Staff

________

OFFICE PHONE_____________HOME PHONE_________Student ________

HOME ADDRESS__________________________________Other ________________

(WHEN LOAN IS MADE TO OTHER INSTITUTIONS, units must notify the Property Accounting

Section of the Business Affairs by submitting "Loan to (institution name)" on description line #4 of the

PAS 50: Optional Data form.)

OFF-CAMPUS LOCATION/ADDRESS OF LOANED EQUIPMENT:___________________________

____________________________________________________________________________________

LOAN PERIOD:

From_______________To__________________

Loaning unit may request return of equipment if needed on campus prior to end of loan period.

PURPOSE OF LOAN:__________________________________________________________________

____________________________________________________________________________________

SPECIAL CONDITIONS:_______________________________________________________________

____________________________________________________________________________________

DESCRIPTION OF EQUIPMENT

UNIVERSITY PROPERTY

OTHER I.D.

CONTROL NUMBER

1.____________________________________________________________________________________

2.____________________________________________________________________________________

3.____________________________________________________________________________________

4.____________________________________________________________________________________

**I accept responsibility for reasonable care and security of all University property which is in my

custody off campus in pursuit of my official duties. Liability assessment, if any, will be based

on General Policy and Guidelines 12-1B-207.

_____________________________

___________________________________________

**SIGNATURE OF BORROWER

APPROVAL OF LOANING UNIT

___________________________________________

ADDITIONAL APPROVAL

_____________________________

___________________________________________

DATE RETURNED (MM,DD,YY)

RECEIVED BY

PHONE NUMBER

Inventory Loan Agreement