I certify that all statements made on this form are true and complete. I accept responsibility for any rent due for not providing 15 days written notice of my intent to vacate. By submitting this form, I agree to follow all of the room-move or check-out procedures and guidelines listed above and that I will return my keys directly to the Housing Office on the date of my departure.
IF YOU DO NOT RECEIVE A CONFIRMATION EMAIL YOU WILL NEED TO RESUBMIT YOUR FORM.