The University of Arizona

Intranet

Checkout Procedures for Departing Personnel

Name: ________________________________________________________

Date: ____________________

Supervisor/Advisor: _________________________________________________

The following items must be returned along with this form:
_____A receipt from the Key Desk indicating that you have returned your keys, must be given to Margaret Newman in Room 917D. (If one is not provided, it is your responsibility to request one from the Key Desk at the time you return the keys.)
_____Any office supplies remaining at your desk (staplers, tape dispensers, rules, scissors, etc...)
_____Any textbooks borrowed from Academic Services (901).
_____If you were in a TA/Grader position, you must also return any old exams, homework, or other related papers to Academic Services (901).
_____If you were in a TA/Grader position, please provide address information for access to course files. For example: /home/username/files/saved_here

These items must be returned to the Lab Staff:
Any computer equipment including computers, modems, keyboards, and printers.

Please provide the forwarding address, phone and email information.

Street address:

City/State/Country/Zip or Postal code:

Phone: (             )

E-mail:

Employer:

Please note: