Overview
Charges
Damage Appeal Form
Damage Appeal Form
For questions or more information, please send an e-mail to:
orl@uwgb.edu
Damage Appeal Form
Date:
Apt./Res. Hall Location:
Contact Information
Your Name:
E-mail Address:
Campus ID #:
Address:
City:
State:
AL
AK
AR
AZ
CA
CT
DC
DE
FL
GA
HI
ID
IA
IL
IN
KS
KY
LA
MA
MD
ME
MI
MO
MN
MS
MT
NC
ND
NE
NH
NJ
NM
NY
NV
OH
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
CANADA
Zip:
Phone:
Roommates Names:
(if any involved with the charge)
Charge Being Questioned:
(Describe the Charge in Detail)
Amount of Charge: $
Why do you feel charge is inappropriate?
(Describe Below)
Please submit your completed
Damage Appeal Form
by selecting the submit button below. Your appeal will be forwarded to the Office of Residence Life.
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