[ Jefferson H.S., LAUSD | Tech Committee ]

Sample Department Equipment Checkout Form
v 1.0
Through various grants a considerable amount of equipment has been issued to departments, including digital cameras, portable word processors, etc. Department Technology Representatives are charged with checking out and tracking the equipment and supplies to their staff. Here is a sample form that can be used to check out the equipment. It is important to record the number of items checked out, when they are due, and what condition they are returned.

Name
Room 
Track
Item
Number
Date Checked Out
Date Due
Date Returned
Comments
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 


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