Central Michigan University
Request to take Equipment off Campus

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Contact us at (989) 774-3118 with questions regarding the use of this form

Date:
Bold items are required fields
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Department:
Name of Requestor:
Street Address:
City: State: Zip:
Phone Number: Fax Number:
Are you a CMU Employee? Yes: No:

In accordance with the university policy regarding the taking of CMU equipment off campus, I request permission to take the following equipment off-campus:

Rationale for taking/using the Equipment off-campus:
Equipment will be taken to the following off-campus location:
Street Address:
City: State: Zip:
 
CMU Equipment
Tag Number


Equipment Description

Removal Date
(mm/dd/yy)
Expected
Return Date

(mm/dd/yy)
Cost for
non-CMU
Employees Only
1
2
3
4
5
   $

The liability for said property may rest with the individual or organization borrowing the equipment. For university employees, please review with your supervisor. For non-university employees and or organization, liability will be as outlined in the Borrower's Agreement. The completed Borrower's Agreement must accompany your request to take CMU equipment off-campus.


Requestor's Email:

Approval Information:
Approved By:
Title:
Approval Person Email: