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

LOG FOR UNIVERSITY-OWNED POOLED DEVICES
FORM INSTRUCTIONS

Form Instructions

  1. Print Name – Print the name of the individual to whom the device is being assigned.
  2. Date – Enter the date the device is being assigned.
  3. Business Purpose – enter the business purpose for which a device is required.
  4. Time Out – Enter the time the device is being logged out to the individual.
  5. Time In – When the device is returned, log the time.
  6. Signature – The employee returning the device signs within this box.
  7. Supervisor Name – Print the name of the supervisor.
  8. Signature – The supervisor signature.
  9. Date – The date the supervisor signs this form is enter.
Image of Log for University-owned Pooled Devices