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Residence Hall Checkout Form 14-15

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2015 EDGEWOOD RESIDENCE HALL CHECK-OUT PROCEDURES Residence Life strongly encourages you to set up a checkout appointment with your RA to go through your room for missed articles, advice on cleaning etc. If you choose not to, you may turn in your checkout sheet and attached keys to any Residence Life staff member when ready to checkout. Residence Life Office (Predolin 215) hours are 8am-4:00pm M-F. Failure to submit this form and all room keys to a residence life staff member will result in an Improper Check-Out fee of $45 and a $75 key charge per unreturned key. Note that Facilities will officially assess each room and bill charges after move out is complete. Your RA is not responsible for assessing or quoting charges. Contact facilities directly about cleaning/damage charges, 608-663-2255. Remember: all room/suite residents are responsible for damage and cleaning, regardless of checkout day/time or order. The official checkout deadline is 6pm on Friday, May 15, 2015 or 24 hours after your last final exam. If you have special needs regarding your move out, contact Residence Life in advance. Note that for every hour that you reside on campus past your required move out time, you will be billed a $25 charge. Blatant disregard for this policy will result in security escorting you off the premises and forfeiture of all belongings. 608.663.3228 Attach keys here Use attached envelope if applicable Please read and complete all information on this form, attach your key(s) and hand in the form to your RA or a Residence Life staff member. Last Name: First name: Contact Phone Number: Building and Room: ID#: Date/Time: As I turn in my keys and vacate my current housing assignment, I acknowledge that it is my responsibility to remove all of my personal belongings and trash prior to checking out. My room must be left clean and in good condition to avoid any additional charges being assessed to my student account. I further understand that I must personally deliver this form and assigned key(s) to my RA, a Residence Life Staff member, or the Office of Residence Life (Predolin 215) by my check-out date and time to avoid any improper Check-out Fee and/or replacement Key Fees being assessed to my student account. I understand that my room will be inspected and assessed for damages by Facilities staff after move out. Student Signature: Date: Receiving Staff Signature: Date: Before you Check out: Have all POSSESSIONS OUT of your room. Lofts must be taken down and removed from the rooms. Empty drawers etc. Because of limited storage on campus as well summer hall use, items may not be stored at Edgewood over the summer. Be sure your room is CLEAN (sinks, walls etc.) The room/space needs to be ready for the next person to move in (see cleaning/damage charge list on back.) Prior to the spring move out, custodial staff will place garbage bags and some cleaning supplies in the kitchenettes for resident use. Keep in mind that Green Seal Certified products are recommended. REMOVE all decorations, i.e. pictures, posters, poster putty, tape, etc. When removing poster putty, carefully ROLL the putty off the wall, DO NOT PULL! SWEEP floor if not carpeted. VACUUM floor if carpeted. Empty wastebaskets and extra trash in the correct trash or recycle bins outside Regina or Marshall Halls or in Dominican Hall TRASH ROOM. Recycling and trash should be placed in the permanent dumpsters. Large items (such as furniture) should NOT be placed in the dumpsters. Be sure to break down all cardboard and place it in the correct bins. Check to make sure none of your room furniture is missing. You will be charged for any missing, damaged or altered room furniture. DO NOT PLACE UNWANTED ROOM FURNITURE IN THE HALLWAYS OR LOUNGES. If you are a resident of Marshall and you placed room furniture in storage, it is your responsibility to make sure it is returned to your room prior to check-out. Regina residents: Housekeeping will replace stored furniture after move out. If you would like to have your bed ends before move out, put in a work request to facilities–[email protected] In suites, thoroughly clean shower stall/tub, sink area and toilet. In the apartments, clean stove, oven and defrost and clean refrigerator thoroughly. Once defrosted and cleaned, turn temperature setting to average. Review damage and cleaning charges on the back. Remember that all room/suite residents are responsible for damage and cleaning, regardless of checkout day/time or order. Claiming Residence Hall Damage Responsibility I, _________________________________________, take responsibility for the following damages: To room _______________ in _________________________________ Hall. _____________________________________________________, _______________ Student Signature Date Damages & Charges College Phone Any damages to your room noted on your check out form/ If you had a college phone installed in your room, you will Damage Responsibility form or when Facilities Staff inspect need to indicate below that you are leaving the phone in your room. The phone must be left in good, working your room, will be billed to your student account. In cases condition or you may be charged. where responsibility for common area damage, cleaning needs or missing property cannot be specifically assigned or Check here if you had a college phone installed in has not been claimed on a Damage Responsibility form, all your room. Make sure to leave it in your vacated room. students occupying the living unit will be responsible for damage on a pro rata basis. Damage charges may include, but are not limited to: Remember to clean out your campus mailbox and fill out a Damage Repair Charges mail forwarding card in the mailroom before  Paint and repair of walls ($25-100+) departing campus.  Carpet cleaning and/or repair ($25-200+)  Trash removal ($25-100+)  Removal of personal items ($50-100+)  Repair or replacement of furniture (depends on cost of All bikes left will be removed and donated to charity. item)  Window blind replacement ($50+)  Window/screen repair or replacement ($50-150+)  Personal furniture, carpet or appliance removal ($35+) Please include any comments regarding your room condition: Cleaning Charges  General living area cleaning ($50+)  Bathroom Cleaning ($25-75+)  Refrigerator ($25+)  Stove/Oven ($25+)  Kitchen sink ($25+)  Kitchen cupboard/counters ($25+) □ Mailbox Reminder Take your Bike Home Checkout Comments: