ARS - Equipment Request Form

	University of California, San Francisco School of Medicine Office of Continuing Medical Education

ARS Equipment Request

Please fill out this form at least two weeks before your requested
pick up time for equipment. This form is intended for those making reservations outside the OCME office. Request will be reviewed by the Administrative Director and against our current reservations.

Your Name:

Email:

ARS System: receiver/ keypads (up to 420)

Equipment needed by: Time:

Equipment will be returned:

Use:

Comments:

Equipment will need to be picked up in our offices.

UCSF Office of Continuing Medical Education 415.476.4251
Registration Office 415.476.5808
Problems or issues with this form should be directed to the
web content manager: Anna Lincoln
Last update: February 21, 2007 11:59 PM