UNIVERSITY OF ALASKA
AUTHORIZATION FOR OFF CAMPUS USE OF
UNIVERSITY E
Q
UIPMENT
Date equipment returned to campus: Property check in/ received by (signature)
Form retention:
1. Original authorized form will be retained by employee removing equipment from campus.
2. A copy will be retained by the person authorizing this form.
3. A copy will be retained by the office where the equipment is normally kept.
Approving Signature Title Date
APPROVAL MUST BE FROM SUPERVISOR OR HIGHER LEVEL AS PRESCRIBED BY YOUR
CHANCELLOR OR VICE PRESIDENT
Description:
Property Tag #: Serial #:
Campus: Department:
Name: Address:
Phone: Wk: Hm: email:
Reason for off Campus use:
Location of equipment while off campus:
Date equipment will be returned to campus:
Date equipment was checked out:
Equipment check out/received by (signature)
THE RETURN DATE MUST NOT BE LONGER THAN THE TIME REQUIRED TO COMPLETE
THE UNIVERSITY PROJECT BUT IN NO CIRCUMSTANCE LONGER THAN 1 YEAR
Fixed Asset Form #7 July 27, 2005
Comments:
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