Fillable Baton Rouge Community College Request for Off-Campus/ Home (Baton Rouge Community College)

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Baton Rouge Community College Request for Off-Campus/ Home (Baton Rouge Community College)

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Baton Rouge Community College
Request for Off-Campus/ Home Storage of Equipment
This form should be used by the department head or director to record equipment to be temporarily used and stored at a non-college
location for purposes of research or other reasons within the scope of the mission of the college.
Department Equipment Assigned to: ________________________________________
Purpose and use of Equipment- purpose must be specific and temporary: _______________________________________________
State Tag Number
Item Description
Serial Number
Condition
________________________________ ______________________
Name of Person with Custody Assigned Date
________________________________ ______________________
Signature of Person with Custody Returned Date
Approval Signature (Dept Head/Director to secure approval from next level supervisor if he or she is equipment user.)
_______________________________ ______________________
Department Head Signature Date
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Baton Rouge Community College Request for Off-Campus Home (Baton Rouge Community College)

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Completed 17 September 2020

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