Long-Term Equipment Loan Agreement

Disabled Student Programs & Services provides equipment for eligible students to use on a temporary checkout basis. Students must adhere to the following conditions:
 
Requests must be made at least 3 business days prior to the event. Requests submitted with less than 3 days’ notice may not be able to be granted. If the need arises to cancel the interpreter after a request is made, student must notify DSS/DSP&S/DRC (E-mail, VP, or landline) 48 hours in advance of the event.
 
  1. I agree to return the equipment in the same condition as when received
  2. I agree to pay for any corrective action that must be taken to restore or replace the piece(s) of equipment to their original condition
  3. I agree to not loan the equipment to any person
  4. I agree to return the equipment no later than the due date listed below

I further understand that if the equipment is not returned on time, or the damage/replacement fees are not paid, access to my RCC official records will be blocked until the fees are paid or the item(s) is returned in working order.

Equipment Brand/Name: _________________________________
 
Serial & Inventory Numbers: _______________________________
 
Condition of Equipment: __ New      __ Good      __ Average      __Comments: __________________________________
 
Replacement Value $ __________________
 
Date Equipment Loaned: __________________________      Due Date: ____________________________
 
It is our intention to offer quality service to our students. If you have any questions, please notify the Disabled Student Programs & Services Department at (951 222-8060.
I have read and I understand and accept the conditions of the contract as stated. A copy of this contract is available upon request.
 
Student Signature & Date: _________________________________
 
DSP&S Staff Signature & Date: _________________________________