Equipment Loaner Agreement Form
Borrower Information
Name
Email
Phone
Department/Organization
Equipment Details
Equipment Name
Model/Serial Number
Accessories Included
Condition
Loan Details
Loan Start Date
Expected Return Date
Purpose of Loan
Agreement & Signatures
By signing below, the borrower agrees to return the above equipment in the same condition as received (reasonable wear and tear excepted) and to comply with all relevant terms and policies.
Borrower Signature
Date
Authorized Staff Signature
Date