New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 95 - VOCATIONAL REHABILITATION SERVICES PROGRAM OF THE COMMISSION FOR THE BLIND AND VISUALLY IMPAIRED
Appendix I
Universal Citation: NJ Admin Code I
Current through Register Vol. 56, No. 18, September 16, 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 ...................................................... | |
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