NWCNHS Inventory

NWCNHS Inventory
Name

First NameLast Name
Email
example@example.com
Panther ID
Office Building
Room Number
EQUIPMENT INFORMATION
Usage
Equipment Type
Manufacturer
Equipment Description
OS
MAC Address
Serial Number
IP Address
Host Name
Year purchased
Warranty Expiration

MonthDayYear
Date
Cost
Replacement?

YES
Serial Number and Notes

Additional Equipment Issued or loaned. (webcam, monitor, camera, etc)

	Description	Date	Return Date
1
2
3
4

IT USE: NOTES
FOR LAPTOP USE
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EQUIPMENT USAGE/AGREEMENT

The equipment listed is the property of the State of Florida and subject to the provisions of Fla. Statutes, Sect. 817.021(1b,c). Damages or loss of this property must be immediately reported to the Accountable Officer who is the custodian for this property. Personal liability will be assessed if gross negligence or lack of due care is proven in the use of this equipment.

On receipt of the Equipment, I agree to the following:

If the equipment is lost, stolen or damaged beyond normal wear and tear, I agree to reimburse the Nicole Wertheim College of Nursing and Health Sciences the original or depreciated cost of the equipment.

On termination of employment with the Nicole Wertheim College of Nursing and Health Sciences, I agree to return the equipment to the Dean’s office by my last working day.
Apple/Mac Equipment

I am aware that there may be software compatibility issues and limited access to shared resources (ie: network printing, domain resources, etc) while operating Mac devices. I am also aware that there is limited technical support available from the NWCNHS Department of IT and that I will be directed to the FIU operated PantherTech Store for support. I agree that it will be my responsibility to provide any adapters and cables necessary for connectivity to shared A/V resources in classrooms and/or labs.
Signature

Clear
Date

MonthDayYear
Date
Equipment Return Date

MonthDayYear
Date
RECEIVED BY:

Clear
Damage/Police report

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