CECS Equipment Checkout Form Breadcrumb Engineering and Computer Science CECS Equipment Checkout Form Name First First Name Last Last Name Email Please list your UTC email address Personnel Number Please list your UTC Personnel Number Department Please list your department Phone Number Please list your phone number Description (Reason for use) Please Describe how you will use this equipment Serial Number Please enter the Serial Number of the equipment Date Checked Out Please select a date Expected Return Date Please select the date you expect you will return the equipment. Inventory Tag Number if present Please list the inventory tag number Leave this field blank Tags College of Engineering and Computer Science