Student Housing Deposit Refund Request Form
Complete this Student Housing Deposit Refund Request Form to request the return of your housing deposit. Ensure all information is accurate for prompt processing.
Full Name
*
First Name
Last Name
Student ID Number
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Housing Unit or Residence Hall Name
*
Room Number
*
Move-Out Date
*
-
Month
-
Day
Year
Date
Deposit Amount Requested for Refund
*
Preferred Refund Method
*
Please Select
Check
Direct Deposit (details will be collected separately)
Other (please specify below)
Reason for Refund Request and Any Additional Comments
*
Supporting Documents (e.g., move-out confirmation, receipts)
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