Mobile Device Loan Agreement

Borrower Information

Name: Department: Email: Phone:

Device Information

Device Type: Make / Model: Asset / Serial Number: Accessories:

Loan Details

Date Loaned: Expected Return Date: Purpose of Loan:

Agreement Terms

I hereby acknowledge receipt of the above mobile device and agree to use it for official purposes only. I am responsible for the care and timely return of the equipment in good condition. I understand that any loss, damage, or theft may result in financial liability.