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Mesquite ISD

Special Education Department

Laptop Agreement

I, ___________________________ to hereby agree to take responsibility for the loan of the following:

Laptop Name: ______________________________________

Tag Number: _______________________________________

I understand the following conditions regarding the loan:

• I am responsible for the full payment to the district in case of damage due to negligence, theft or
loss of property. During on campus learning or distance learning periods.
• If employment is terminated, the item must be returned at termination.
• The laptop should never be left at home on a school day. If you are at work, the computer must
also be at work.
• The laptop should never be left in a vehicle unattended.

Campus/Building:_____________________ Unit Type:____________________ Room ___________

______________________________________________ __________________________
Employee Signature Date

______________________________________________ __________________________
Coordinator Signature Date

I have returned the laptop. Date: _____________________________

______________________________________ ___________________________________
Employee Signature Supervisor Signature

05/20

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