UNIVERSITY OF WEST FLORIDA
EQUIPMENT CHECK-OUT FORM
FOR PERIODS IN EXCESS OF TEN DAYS
I request permission to remove UWF equipment from University premises for official use at off-
campus locations. This form must be completed, signed, and forwarded to the Property Section in the
Controller’s Office prior to removing any equipment from the University premises.
Date of Use (up to 2 years)
I agree to accept responsibility for the equipment described above and I agree to reimburse UWF for
any damage or loss to the equipment resulting from my negligence and not covered by the University’s
insurance policies. I also agree to bring this equipment back to campus for inventory purposes when
requested to do so by the Property Section.
Approved:
Signature, Department Head/Accountable Officer
Date
I hereby certify that the above described equipment has been returned to the University premises and
was returned in satisfactory condition.
Signature, Department Head/Accountable Officer
Date
