Off-Campus Use Form Employee's Name Employee's Email Department Email of supervisor authorizing the use of property off-campus Item #1 Property Tag/Device Name Serial Number Description Item #2 Property Tag/Device Name Serial Number Description Item #3 Property Tag/Device Name Serial Number Description Item #4 Property Tag/Device Name Serial Number Description Item #5 Property Tag/Device Name Serial Number Description Item #6 Property Tag/Device Name Serial Number Description Date of Check Out Date Property to be Returned This form is valid for one year only, please make sure your return date is within this time frame. Justification for Using Property Off-Campus Primary Off-Campus Location at which property will be used Leave this field blank