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THIS FORM IS FOR APARTMENT VACATE ONLY! A 60-day notice is required to avoid a Penalty Fee. The vacating date may not be changed to a later date due to the immediate reassigning of the apartment.
Last Name: First Name:
UW Student W Number:
UW Apartment Street Address:
E-Mail Address (firstname.lastname@example.org):
Forwarding Address & Phone Number:
Reason for Vacating:
BY SUBMITTING THIS FORM, YOU AGREE TO CHECK OUT OF YOUR APARTMENT ON THE “VACATING DATE” YOU HAVE LISTED.
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