HMC Missing/Damaged Equipment Report
Proctor on Duty
Location of Missing/Damaged Equipment
Sheet Metal Shop
Rapid Design Lab
Anywhere else in the main shop
If the student is purchasing more stock, please write the appropriate stock below (e.g. "Hammer Head Stock," "Tool Tray Stock")
If no student is responsible, enter "N/A"
ID of the Student Responsible
We will use this information to charge student's Claremont Cash if they haven't paid prior to filling out this form. If no student is responsible, enter "0000000."
Has the fee been paid?
Fee for broken equipment or new hammer stock is $3. Fee for new tool tray stock is $8. If no student is responsible, enter "N/A."
Yes (Broken Equipment: $3.00)
Yes (Hammer Stock: $3.00)
Yes (Tool Tray Stock: $8.00)
Has the item been replaced?
Yes (but stock is running low)
No, need to order more
Anything else you want to mention about the missing/broken item should be written here.
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