College of Engineering Property Tracking Form

The intent of the form is to track Boise State University property that has been taken home or to a remote location on a PERMANENT basis while working remotely. If your department does not have a current Inland Marine form you can update it here. https://www.boisestate.edu/rmi/general-liability/#inland-marine-

Employment or Student Type*

Select

First Name*

Last Name*

Email Address*

Department

Address*

Please enter the address you brought the equipment to. (This information is secure and private.)

Equipment Borrowed*

Select

Equipment Serial Number(s)

ENG #

Other Specify

Employee/Student Employee Acknowledgement*

Please know you are responsible for bringing back equipment and any costs incurred to move equipment back if you hire a mover.

Student Acknowledgement*

Checkout Terms: By checking this agreement I acknowledge that I have received the equipment in good condition and accept full liability for damage or loss. This includes concealed or unreported damage upon return. If the equipment is not returned by the date and time agreed upon, I agree to pay any associated fines and understand that a late return or lack of return may result in a suspension of checkout privileges, academic consequences or legal repercussions. If equipment is lost or damaged and the student is unwilling or refuses to make payment, an encumbrance will be applied against their student fees account to prevent them from registering for future classes until payment is made.

Telecommuting Procedures*

I certify that I have read and agree to comply with the telecommuting procedures. https://www.boisestate.edu/policy/human-resources/telecommuting/

Policies 6270 & 8000*

I certify that my off-campus use of the equipment listed above is in strict conformance with BSU policies 6270 and 8000. Policy 6270 https://www.boisestate.edu/policy/finance/policy-title-control-of-university-equipment-and-materials/ Policy 8000 https://www.boisestate.edu/policy/information-technology/information-technology-resource-use/

Certify*

I certify that I have not removed any BSU COEN property or equipment from the BSU premises.

Send me a copy of my responses

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