Send to: General Accounting-
Equipment Inventory, MSN: 4B2
Tel: 3-4456; Fax: 3-2920
Equipment Assignment/Loan Form
Instructions: Use this form to authorize the temporary assignment/loan of equipment to faculty or staff. Items listed below are not
required to be returned for scanning during the annual inventory. Instead, retain the originals of these forms on file in the office and
send a copy to the Fixed Assets Office. Equipment assigned/loaned for off-campus use may be used only for official university
business.
Department: ______________________________________ Date: _______________________________
Equipment Liaison: ________________________________ Phone: _____________________________
Equipment:
Item Description:
Use Code: (see below)
Expected return date:
Bar Code #
Serial #
Model #
Manufacturer
Item Description:
Use Code: (see below)
Expected return date:
Bar Code #
Serial #
Model #
Manufacturer
Item Description:
Use Code: (see below)
Expected return date:
Bar Code #
Serial #
Model #
Manufacturer
Certification
I acknowledge receipt of the above-described pieces of equipment. I will return this equipment when no longer required
or upon termination of employment.
Signature
Printed Name
Date
Departmental Approval
Signature of Equipment Liaison
Date
Equipment Use Codes
(See Departmental Equipment Procedures at http://fiscal.gmu.edu for explanation of codes)
101
Instruction
For General Accounting Office Use Only
_________________ ____________
Entered By
Date
102
Research
103
Public Service
104
Academic Support
105
Student Services
106
Institutional Support
107
Operation and Maintenance of Plant
809
Auxiliaries
October 2008