TTU PROPERTY LOAN REQUEST
REQUESTOR’S NAME: _________________________________________________ DATE: _____________________________
The above named individual requests permission to remove from campus the following equipment
to pursue job-related activities:
Description: ____________________________________________________________
TTU Tag Number: ______________________________________________________
Manufacturer: __________________________________________________________
Model Number: _________________________________________________________
Serial Number: __________________________________________________________
Value: ____________________________________________________________________
The purpose of property use off campus: ___________________________________________________________________
Date property will be removed: _______________________________________
Date property is expected to be returned: ____________________________
Address property will be located when in use off campus: ________________________________________________
I understand this property is to be used for job-related activities only, and that I am liable
for loss or damage to the property that is attributable to my negligence while it is in my
custody.
I further understand that the equipment must not be removed from the campus before it has
been properly labeled with an inventory tag (if applicable), or before written authorization
from my chairperson and dean/administrative officer has been received.
Requestor’s Signature: ___________________________________________________
APPROVALS:
_______________________________________________________ ________________________________________________________
Chairperson
Dean or Administrative Officer
Item(s) above have been returned to ______________________________________________ on ___________________
College/Department/Area Date
Signature of person returning item: _______________________________________
_______________________________________________________ ________________________________________________________
Chairperson Dean or Administrative Officer
Print form and obtain signatures. This form is to be kept within department for inventory purposes.
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