Brevard Community College
Inventory Services
Equipment Charge-Out Form
Rev. 9/10
BCC A TAG # DESCRIPTION OF PROPERTY SERIAL NUMBER
(Computers-Service Tag #)
_____________ _______________________________________ _______________
_____________ _______________________________________ _______________
_____________ _______________________________________ ______________
_____________ _______________________________________ _______________
_____________ _______________________________________ _______________
I hereby request permission that the items listed above be removed from the Brevard Community
College campus for work in my home on BCC instructional programs. All property will be
returned to Brevard Community College by __________________________.
(date)
(Note: This equipment can be called in at any time by the Inventory Services office.)
________________________________________________________________________
Requestor’s name (print)
________________________________________________________________________
Requestor’s signature Date
________________________________________________________________________
Requestor’s address and home telephone number
________________________________________________________________________
Property Custodian or Supervisor Date
Distribution:
Original: Inventory Services
Copies: Property Custodian/Supervisor
Requestor (to be retained with equipment)
Directions: To be completed by individuals checking equipment out for college business. This form must be completed on an
annual basis in December. Examples of equipment would be a laptop computer, printer, etc.
