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Printable specimen only form

Printable specimen only form 2025

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The document is an agreement for the temporary loan of durable medical equipment from Arizona Bridge to Independent Living (ABIL) to a borrower. It outlines the borrower's responsibilities, including inspecting the equipment, assuming all risks, maintaining the equipment, and obtaining liability insurance. The borrower also agrees to release ABIL from any liability related to the use of the equipment and must return it by a specified date.

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Click ‘Get Form’ to open the printable specimen only form in the editor.
Begin by entering your name in the designated field labeled 'NAME'. This is essential for identifying the borrower.
Fill in your address in the 'ADDRESS' section. Ensure that this is accurate, as it will be used for communication regarding the equipment.
Provide your phone number in the 'PHONE' field. This allows ABIL to contact you if necessary.
In the 'Description of Equipment' section, specify what durable medical equipment you are borrowing. Be as detailed as possible.
Indicate the condition of the equipment by filling out the 'Condition of the Equipment' field. Note any visible issues.
Review all terms and conditions outlined in the agreement carefully before signing. Ensure you understand your responsibilities regarding maintenance and liability.
Sign and date at the bottom of the form where indicated for both borrower and witness to finalize your agreement.

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Versions	Form popularity	Fillable & printable
2013	4.8 Satisfied (185 Votes)

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