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California State University, Long BeachCalifornia State University, Long Beach

Dept Property Check-Out Log

(Formerly Departmental Equipment Check-Out Log)



INSTRUCTIONS:


  1. When used for University business, University property may be loaned to University employees or another campus department to use on- and/or off-campus. For an item that is designated "department shared" (shared among the department and is checked out by various individuals for business travel purposes), the Department Property Check-Out Log is required to be approved by the Department Record Keeper. Upon return of the loaned item, the Department Record Keeper acknowledges receipt on the log.
  2. Complete the log and use the button below to display a printer friendly version.
  3. Print the "Printer Friendly Version" of the log.
  4. The completed log is to be maintained by the department record keeper and is to be available for inventory and audit purposes as requested by the Property Management Office.

Fields with * are required.

DEPARTMENT INFORMATION

By signing out for the property listed below, the borrower agrees to the following:

  1. to use the property in the best interest of the University and for University business purposes only;
  2. to assume responsibility for the custody of the property;
  3. during the physical inventory process, to either bring in the property for physical view by the Property Management Office (PMO) or to acknowledge the item is in their possession and in good working condition by signing-off on the Physical Inventory Certification form;
  4. to replace the property if it is lost, stolen, or damaged as a result of negligence;
  5. to immediately report to the University Police Department and the PMO should the property on loan become lost, stolen or damaged; and
  6. to return the property by the agreed upon due date or upon separation from the University, whichever occurs first.


PROPERTY CHECK-OUT

Item No. Property Tag # Description (include Serial Number) Borrowing Dept ID# Borrower's Campus ID# Borrower's Last Name Borrower's First Name Check Out Date Due Date
1
2
3
4
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7

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