Equipment Off-Site Use | JCTC

Equipment Off-Site Use

Name of employee:

Description of equipment:

Inventory tag number:

If temporary:

  • Date equipment signed out:
  • Expected date of return:

Signature of employee:

Signature of supervisor:



Print this page, complete it then return to:

Wayne Trueblood
Inventory Control Manager
Jefferson Community & Technical College
109 East Broadway
Louisville, KY 40202

Contact information:

Office Use Only

  • Approved:
  • Date: