Loan Program Request Form

Borrower Information
Property Information

I and/or my department or group wish(es) to borrow the above-described property in connection with official Rice University business and acknowledge that I /we may be held liable for any loss of or damage to the above-described property while in our care. I acknowledge that I am responsible for immediately reporting any damages or losses to the contact person listed below, and that the above-described item is Rice University property, and will not be used for personal business.