ࡱ> %` ebjbjٕ 4zj***8+++:,0.0.0.0.C/a/u/ b9d9d9d9d9d9d9$;hG>9]0?/C/0090.0.933300.0.b930b93330., 40*^1v3>5$90+:3>1l>3>3/0/"3/////99@3^///+:0000^^ Ʒ of Akron Office of the Associate VP/Controller Property AccountingHome Use of University Equipment Whereas, UNIVERSITY is the owner of certain equipment which is set forth on the face of this form, and Whereas, UNIVERSITY, and USER will benefit from USER's use of the subject equipment (hereafter referred to as the SUBJECT EQUIPMENT) at USER's private residence, affording USER the opportunity to perform tasks on behalf of UNIVERSITY while away from UNIVERSITY; and Whereas, UNIVERSITY has determined that the use of the SUBJECT EQUIPMENT by USER at USER's private residence will benefit UNIVERSITY; THEREFORE, in consideration of the mutual covenants, promises, considerations herein set forth, UNIVERSITY and USER agree as follows: 1. UNIVERSITY hereby authorizes USER to utilize the equipment at the private residence. 2. USER agrees to utilize the SUBJECT EQUIPMENT in a safe and proper manner so as not to cause injury to himself/herself or others or damage to the SUBJECT EQUIPMENT. USER agrees only to utilize the SUBJECT EQUIPMENT at USER's private residence. USER assumes full responsibility for any loss or damage to SUBJECT EQUIPMENT. It is understood that the same shall not be removed from the said residence (except to return same to UNIVERSITY) without the express written permission of the UNIVERSITY. 3. USER agrees to utilize the SUBJECT EQUIPMENT solely for purposes of business, academic research or other use exclusively on behalf of the UNIVERSITY. 4. USER acknowledges that USER is familiar with copyright laws and contractual protections associated with software which may be used in conjunction with the SUBJECT EQUIPMENT. USER agrees to use the SUBJECT EQUIPMENT in a lawful manner, especially with regard to software. USER will not unlawfully load or copy any software with or through the use of the SUBJECT EQUIPMENT. 5. USER agrees that USER shall, upon request of the UNIVERSITY or upon conclusion of the use of SUBJECT EQUIPMENT by USER (whichever event occurs earlier), return the SUBJECT EQUIPMENT to UNIVERSITY. 6. USER agrees that only USER may utilize the SUBJECT EQUIPMENT, that no other person will be authorized or allowed to use same without the express written consent of the UNIVERSITY. 7. Any maintenance required for the SUBJECT EQUIPMENT will be performed only by representatives of the UNIVERSITY or designated representative or contractor of UNIVERSITY. USER acknowledges and understands that UNIVERSITY will not be responsible to provide any alternate source of equipment during such time period. Section 1: CertificationThis is to certify that permission has been given to FORMTEXT       (name of person using equipment) to use the following university owned equipment at his/her personal residence located at this address:  FORMTEXT       He/She is using this equipment at home to: FORMTEXT       Start date for off-campus use FORMTEXT      Estimated date return to campus FORMTEXT       Section 2: EquipmentPlease list all equipment and component parts:Tag #DescriptionModelSerial # FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMT=>?QRrstu ȸubQ>Q0hNCJOJQJ^JaJ$hNhNCJOJPJQJ^JaJ hNhNCJOJQJ^JaJ$hNhECJ OJPJQJ^JaJ hahEOJQJh}~h5CJ&OJQJaJ&hN5CJ&OJQJaJ&hah7@OJQJh]CJOJPJQJ^JaJhE*CJOJPJQJ^JaJhECJOJPJQJ^JaJ$hahECJOJPJQJ^JaJ'h8-hE5CJOJPJQJ^JaJ>RstuqlX$7$8$H$^`a$gdNgdEykd$$If900* t064aytN $$Ifa$gd $IfgdJd e l L > NxsgdE$d7$8$H$^`a$gdB$d7$8$H$^`a$gdB$d7$8$H$^`a$gdB$d7$8$H$^`a$gd5"$d7$8$H$^`a$gdNd7$8$H$^`gdN N O P @ A PQ$&*DFHޯyhU$hahCJOJPJQJ^JaJ!hB5CJOJPJQJ^JaJ!hM5CJOJPJQJ^JaJ!h*Em5CJOJPJQJ^JaJ'hah5CJOJPJQJ^JaJ$h_\>h@1CJ OJPJQJ^JaJ hBCJOJQJ^JaJhNCJOJQJ^JaJ hNhNCJOJQJ^JaJ h5"h5"CJ OJQJ^JaJ FH=dkd$$Ifh0*` t+644 apytTUkd$$If *+  t +644 ap yta! $IfgdH "$&ɕ݅r_L<hBCJOJPJQJ^JaJ$hahBCJ OJPJQJ^JaJ $hBhKCJOJPJQJ^JaJ$h?NhKCJOJPJQJ^JaJhKCJ OJPJQJ^JaJ 2jhKCJOJPJQJU^JaJmHnHu3jih?NhKCJOJPJQJU^JaJ'jhKCJOJPJQJU^JaJ$hahKCJOJPJQJ^JaJhKCJOJPJQJ^JaJ"$&@Ekd$$If *+ t+644 ayta!dkd$$If(0*` t+644 apytG` $$Ifa$gdK $Ifgd_\> $&z|~dzoڣdzUoڣA'jh^ CJOJPJQJU^JaJ3jZhKhKCJOJPJQJU^JaJ2jhKCJOJPJQJU^JaJmHnHu3j hKhKCJOJPJQJU^JaJhKCJOJPJQJ^JaJ'jhKCJOJPJQJU^JaJ$hahKCJOJPJQJ^JaJ$hahKCJ OJPJQJ^JaJ $hahBCJOJPJQJ^JaJ"$&|dkd$$If 0/*L( t+644 apytG` $IfgdG` Lt $IfgdG`dkd$$If 0h* t+644 apytbM  JLNbdfprvx¨•k¨•XD3D!hK5CJOJPJQJ^JaJ'hahK5CJOJPJQJ^JaJ$hKhECJ OJPJQJ^JaJ 3j"h^ h CJOJPJQJU^JaJhKCJOJPJQJ^JaJ$hahKCJOJPJQJ^JaJ2jh^ CJOJPJQJU^JaJmHnHu'jh^ CJOJPJQJU^JaJ3jh^ h CJOJPJQJU^JaJh^ CJOJPJQJ^JaJtvx{r $IfgdG`gdE~kd$$If \ H!* P 0   t+644 aytK*,8:L^DkdN $$Ifh*+ t+44 aytT $IfgdG`Skd$$If *+  t +44 ap yta! (,6:JLNPdfhrtxzݷʤfL9$hRha!CJOJPJQJ^JaJ2jha!CJOJPJQJU^JaJmHnHu3j< ha!ha!CJOJPJQJU^JaJha!CJOJPJQJ^JaJ'jha!CJOJPJQJU^JaJ$hahUCJOJPJQJ^JaJ$hahRCJ OJPJQJ^JaJ $hahRCJOJPJQJ^JaJhRCJOJPJQJ^JaJ$hahKCJOJPJQJ^JaJLNvxI@@@@@@ $IfgdG`kd $$If ֞8 h*kN|  t+44 ayta! ѷѤєzѷѤє`ѷѤMє$haha!CJOJPJQJ^JaJ3jz hUha!CJOJPJQJU^JaJ3j ha!ha!CJOJPJQJU^JaJha!CJOJPJQJ^JaJ$hRha!CJOJPJQJ^JaJ2jha!CJOJPJQJU^JaJmHnHu'jha!CJOJPJQJU^JaJ3j hUha!CJOJPJQJU^JaJ HJr@kd $$If ֞8 h*kN|  t+44 aytG` $IfgdG`  "68:DFJL`bdnptvѷѤєzѷѤє`ѷѤєFѷѤ3jphUha!CJOJPJQJU^JaJ3jha!ha!CJOJPJQJU^JaJ3jhUha!CJOJPJQJU^JaJha!CJOJPJQJ^JaJ$hRha!CJOJPJQJ^JaJ2jha!CJOJPJQJU^JaJmHnHu'jha!CJOJPJQJU^JaJ3j2ha!ha!CJOJPJQJU^JaJrt@kd$$If ֞8 h*kN|  t+44 aytG` $IfgdG`DD D DDDDD2DɯٕقhٕقfLٕق3jha!ha!CJOJPJQJU^JaJU3jhUha!CJOJPJQJU^JaJ$hRha!CJOJPJQJ^JaJ2jha!CJOJPJQJU^JaJmHnHu3j(ha!ha!CJOJPJQJU^JaJha!CJOJPJQJ^JaJ'jha!CJOJPJQJU^JaJ$haha!CJOJPJQJ^JaJEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Section 3: Signatures Individual responsible for equipment FORMTEXT       Typed nameSignatureDate Department Head/Director FORMTEXT       Typed nameSignatureDate Property Accounting must be notified when the equipment has been returned to campus. Acknowledge below the date of return and send a copy to Property Accounting. 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