Equipment Check Out / Check In
Use this form to check out equipment you are borrowing from the club, and to report that you've returned (checked in) equipment from the club.
Email address *
Your Name *
Your answer
Your Callsign (enter "no call" if you don't have one)
Your answer
Telephone Number *
Enter your 10-digit phone number with no dashes, periods, or spaces. Example: 9073334444
Your answer
CHECKED OUT EQUIPMENT SECTION
Check Out - Item(s) Description
Enter all pertinent information about the item(s) including the AARC ID tag number, nomenclature of the item (manufacturer, model, part number, etc.), serial number (if any), and location(s) from within the RSOC you took the item(s). Also enter the purpose/use of each item you borrow.
Your answer
Check Out - Date of expected return of checked out item(s)
Please limit "borrow" time to no more than 1 month. If required for a longer period, check with the club's equipment manager (Vice President) or any Board Member.
MM
/
DD
/
YYYY
CHECKED IN EQUIPMENT SECTION
Check In - Item(s) Description
Enter all pertinent information about the item(s) including the AARC ID tag number, nomenclature of the item (manufacturer, model, part number, etc.), serial number (if any), and location(s) from within the RSOC you took the item(s).
Your answer
Describe Equipment Defects
Describe repairs needed, adjustments that need to be made, or consumables that need to be replaced.
Your answer
Check In - Date of return of item(s) *
Please limit "borrow" time to no more than 1 month. If required for a longer period, check with the club's Equipment Manager (Vice President), Assistant Equipment Manager, or any Board Member.
MM
/
DD
/
YYYY
FIDUCIARY RESPONSIBILITY ACKNOWLEDGMENT
Signature/Acknowledgment of Fiduciary Responsibility *
By entering your full name below, you acknowledge that you understand that if the item(s) are damaged or lost, you will be fully responsible for replacement and/or repair of the item in a timely manner. Further, any consumables associated with the item (i.e. - connectors such as PowerPoles that might be checked out with a crimper) will either be paid for or replaced in kind by you, the borrower.
Your answer
A copy of your responses will be emailed to the address you provided.
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