Departmental Equipment Check-Out Log -
User Instructions
Department
Enter the issuing Department’s name.
Log Recorder / Name:
Enter the name of the person that will be responsible for issuing equipment and recording the information on the departmental Equipment Check-Out Log.
Phone No:
Enter the Contact Person’s campus extension.
CSULB Property # or Serial #
Enter the CSULB Property Tag number. If the item has no tag number, then enter the Serial number.
Description
Enter a description of the item.
Borrowing Dept ID
Enter the department ID of borrower.
Name of Borrower
PRINT the name of borrower.
CSULB ID#
Enter the borrower’s CSULB ID number.
Signature of Borrower
Signature of the borrower is required upon check-out of the equipment.
Check-Out Date
Enter the date that the borrower checks out the equipment.
Due Date
Enter the anticipated due date that the borrower will return the equipment.
PRINT / Signature of Receiver
PRINT the name of Receiver who acknowledges the return of the equipment. The Receiver’ signature is required.
Return Date
Enter the date that the borrower returns the equipment.
Note: Departments may add additional fields to the form but must keep current fields.