Form Equipment Loan Loan Status* Request Loan Return Loan Equipment Description(ie. Laptop) Manufacture(ie. Dell) Model(ie. Latitude E5430) Manufacture Service Tag / Serial Number(ie. 1Z5XJX1) University of Connecticut Tag ID Number(ie. W57974) only on items purchased for over $1000.00 will have this. Loan Start Date*Start date of equipment on loan. MM slash DD slash YYYY Loan Return Date*Date returned of equipment on loan. MM slash DD slash YYYY Expected Return of Loan DateWhen do you expect to return the loan? Equipment will need to be returned to department on or before this date. MM slash DD slash YYYY Name* First Last Email* EmailThis field is for validation purposes and should be left unchanged.