RITS Equipment Check-Out Request Form
RITS Equipment Check-Out Request Form

RITS Equipment Check-Out Form


Last Name:

First Name:

Contact Number:


School/Site Location:

Site/Room # Where Equipment Will Be Used:


Event Description:


Equipment:  Digital Video Camera Digital Camera
   Tripod Video/LCD Projector
   Wireless Microphone Wired Microphone
   Portable Audio (P/A) System 



Number of Microphones:


Other Equipment or Comments:



Equipment Check Out Date (mm/dd/yy):

Time of Pick Up:

Equipment Return Date (mm/dd/yy):


Return Time:
Pick up times are from 7:00am to 5:00pm 


Department Code:
If you do not know what your department code is contact your site supervisor. 


Please make sure all pieces of equipment are accounted for upon return.  You or your site maybe held responsible for lost or damaged equipment.

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