If you are appealing damages recently mailed to you, please fill out the form below and click submit. After July 1, 2008 at 11:59 p.m., no appeals will be accepted.

Room Damage Appeal Form
All fields are required.

first and last name
 

student id #
 

Summer Phone # (xxx-xxx-xxxx) 

current on-campus address
 building     room     mailbox #

All current students must utilize their J&W provided student email for official university communication. If you are no longer a current student at J&W, please enter your personal email address.

email address @students.jwu.edu

Check-Out Option (choose ONLY one option)   Express Check out     Regular Check out

Date of Check Out

Time of Check Out

Staff Member who checked you out (choose only one option)

I am appealing because (choose all options that apply)
I was charged for a damage that was not marked on my RCR.
I was not the only one responsible for this damage but was the only one charged.
I did return my university-issued room key to the RA upon checkout.
I did return my university-issued mailbox key to the RA upon checkout.
I disagree with the charge because (explain your answer below).
Other (explain your answer below)

Explain your answer for the option(s) marked above

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