N.J. Admin. Code § Tit. 10, ch. 95, app I
Current through Register Vol. 56, No. 21, November 4, 2024
Agreement concerning the loan of tools, equipment, initial stock, and other material items for educational and training purposes
| I, .......................................................................... | |
| Name of client | Address |
| Hereby agree that the New Jersey Commission for the Blind and Visually | |
| Impaired is providing me with the use of the following equipment, stock or | |
| supplies: | |
| ............................................................................. | |
| ............................................................................. | |
| ............................................................................. | |
| ............................................................................. | |
| ............................................................................. | |
| All tools, equipment, other material items, and the equivalent of initial | |
| stock or inventory provided for my use by the New Jersey Commission for the | |
| Blind and Visually Impaired are the property of the Commission and are | |
| furnished to me for instructional and/or training purposes. These items are | |
| for my use, with the residual title and interest remaining with the | |
| Commission. They are on loan for as long as I remain in a Commission sponsored | |
| or approved educational or training program. I understand that this property | |
| may be used by me only for the purposes granted, and may not be disposed of or | |
| sold. | |
| I understand that I am responsible for any deliberate damage or misuse and for | |
| routine maintenance. I will be responsible for minor repairs ($ 50.00 or less) | |
| unless this causes a financial hardship which is substantiated by the | |
| Commission's financial needs test. I will return my listed equipment | |
| immediately upon request to the Commission for the Blind and Visually | |
| Impaired. | |
| Client signature .................................. | Date: ................... |
| VR Counselor signature ...................................................... | |
N.J. Admin. Code Tit. 10, ch. 95, app I
See: 31 New Jersey Register 2152(a), 31 New Jersey Register 3328(a).
Substituted a reference to $ 50.00 for a reference to $ 35.00 in the last paragraph, and added a line for caseworker signatures.
Amended by R.2005 d.93, effective 3/21/2005.
See: 36 New Jersey Register 4611(a), 37 New Jersey Register 887(a).
Substituted "Client signature" for "Signature" and "VR Counselor" for "Caseworker" at the end