PATINS Loan Request
After submitting your request, if you do not receive a shipment confirmation email within five (5) business days, please contact either Carrie Owens at or Sheri Schoenbeck at Thank you!
In borrowing from the PATINS Lending Library, I agree to:
1. Assume responsibility for returning item(s) on time.

• Retain all packing materials and boxes that the loan items were
delivered in for return shipment. (Replacement shipping materials will
not be provided by PATINS.)

• Keep track of all parts, pieces and manuals included with this
shipment. (Borrower will be held accountable for any missing items
and will need to return and/or replace at their expense.)

• Prior to the loan return due date please visit the PATINS website to

2. Prevent loss or abuse of equipment/software/resources.

• Return item(s) in clean and working order.

• Return equipment/software immediately if it ceases to operate.

• Assume financial responsibility of repairing/replacing any item that
is damaged as a result of neglect or carelessness while in your

• Replace any item(s) that are lost or damaged beyond repair.

3. Obey software copyright laws. There will be absolutely no copying of
CDs/USB/Thumb Drives. Borrower MUST remove programs from all
computer hard disk drives prior to returning software.

*Note: Item(s) are available for a 6-week loan period. For a one (1) time renewal, contact site to confirm availability and check renewal box.

PATINS cannot guarantee immediate delivery of requested equipment. It is the school’s responsibility to look for other avenues to obtain necessary equipment if it is required by an IEP.

Searchable Library:

Administrator Contact Information
Name: *
Your answer
Phone Number: *
Your answer
Email: *
Your answer
Staff Requesting Item
Name: *
Your answer
Title/Position: *
Your answer
Phone Number: *
Your answer
Email Address: *
Your answer
Please provide your Winter Break Start Date and End Date.
Your answer
Are you a first time borrower from PATINS? *
Would you like to subscribe to our monthly eNewsletter to get first access to the newest items in the Lending Library? *
Shipping Information
School Corporation: *
Your answer
Name of School: *
Your answer
Street: *
UPS will not deliver to a P.O. Box. Please enter a valid street address for delivery.
Your answer
City: *
Your answer
Zip Code: *
Your answer
Delivery Method *
New this year! Physical locations of the Lending Library are now only available at our NW and SW sites.
Item(s) Requested:
Name/Description and Mac/Win if Software
Item 1 *
Your answer
Item 2
Your answer
Item 3
Your answer
Item 4
Your answer
Item 5
Your answer
Item 6
Your answer
Item 7
Your answer
Almost Done!
Please email with any questions or concerns that you may have in regard to your request. or

Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service