Systems and Procedures
A Division of The Corporate Controller's Office
IN

CAPITAL EQUIPMENT SHARED-USE AGREEMENT
FORM INSTRUCTIONS

Form Instructions

  1. Description - Provide a description of equipment to be utilized in connection with Project(s).
  2. Manufacturer - Enter the name of the manufacturer of the equipment.
  3. Model # - Enter the model number of the equipment.
  4. PSU Inventory Tag - Enter the PSU Inventory Tag Number.
  5. Condition - Enter the condition of equipment (list defects, if any).
  6. College - Enter the name of the College/Administrative Unit.
  7. Department - Enter the department name.
  8. Building - Enter the name of the building.
  9. Room - Enter the room number
  10. Maintenance - Enter any routine maintenance to be performed by borrower.
  11. Beginning Date - Enter the beginning date of period of shared-use.
  12. Ending Date - Enter the ending date of period of shared-use.
  13. Shared-Use - The the schedule of shared-use.
  14. Additional Terms - Entry any additional terms or modifications to terms stated above (attach additional pages if necessary).
  15. Lender/Custodian - The Lender/Custodian of the equipment must sign the form.
  16. Date - Enter the date the Lender/Custodian signs the form.
  17. Borrower - The Borrower of the equipment must sign the form.
  18. Date - Enter the date the Borrower signs the forms.
  19. Title - Enter the title of the Lender/Custodian.
  20. Title - Enter the title of the Borrower
Image of Capital Equipment Shared-Use Agreement Form