EmailMeForm
Housing Fines & Fees Appeal
For each charge you are appealing, type a VERY DETAILED rationale for your appeal request. This should include specific information why you believe this appeal request should be reconsidered. If you know another student which should take responsibility for the charge(s), this information should be included.
Student Name
*
First
Last
Email
*
ID Number
*
Cell Phone
*
###
-
###
-
####
What residence hall do you live in (for the charge period of time)?
*
Please select
ABAC Place 100 Building
ABAC Place 200 Building
Lakeside
Apartment/Suite number (example: 1101A)
*
Date of Charge Notification
*
MM
/
DD
/
YYYY
Charge Amount
*
$
Dollars
.
Cents
Charge Description
*
Details of Appeal Request(s)
*
