MPT: Equipment Requisition Form

MPT: Equipment Requisition Form

By submitting this form, I agree to accept responsibility and liability for any equipment/materials loaned to me and listed hereon, and I will be responsible for the replacement cost (or repair cost, if applicable) of any equipment/materials lost, stolen or damaged regardless of whether or not I am in immediate control of the equipment/materials. I understand and agree that the cost of any repair or replacement, as determined by the college, may be deducted from my salary on the basis of not more than 10% of the cost per pay, except that, upon my resignation or termination from the college's employment, any remaining balance may be deducted from my final paycheck in full. However, if my liability exceeds my net pay, I agree to pay the balance due the college in 10 equal monthly installments from the date of my final paycheck.