Equipment Request Form

Note: All fields marked with an * are required!

Contact Person Information

First Name:

Last Name:

NSU Email Address:

Phone Number:

Fax Number:

Dept./College:

Enter Department Name:

Name of Event:

Event Date:

Event Location:

Enter Location:

Account Name:

Account #:

Pick-up Type:

Item(s) Requesting

Item(s)	Quantity	Pick-Up Date	Return Date
*	*	*	*

Contact Person Responsibility

To replace any item borrowed from the Office of Facilities Management inventory that is stolen, lost, or returned damaged.
Items borrowed must be returned no later than 2 days after the event.
If Physical Plant will be picking up items for you, your college/school or department Physical Plant Point of Contact is responsible for submitting the work order to pick-up and return items to the Office of Facilities Management.

* By checking this box, I agree to the above terms, conditions, and responsibilities for the use of the Office of Special Events and Projects equipment.

Please verify that you have completed all required fields and are not a robot before submitting this form.