DOCUMENTS AND FORMS

The following forms and documents are needed by students who will be moving to one of the on campus housing facilities.

Downloadable Documents and Forms

If you need to cancel housing for summer 2021 or fall 2021-spring 2022, termination forms are available via the MyHousing portal. Log in to you MyHousing portal to access these forms. Pay close attention to the cancellation fee schedule, which is located on the last page of the housing contract.

Information Technology Support Form

University Housing Technology or Equipment Issues

Please fill in the form below.

The form is for University Housing related technology or equipment issues only. This includes front desk, checkpoints, mailrooms, learning centers and staff workstations within University Housing. For technology issues within the residence halls please contact MyResNet support at 855-813-7007 or email at support@myresnet.com.

Housing Charges Appeals Form

Appeals of housing and dining charges must be submitted online within 30 days of contract termination or move-out. Appeals will only be considered in cases where the student can provide acceptable documentation clearly establishing a substantial and unforeseeable change, as determined by the university. Appeals related to Room Reservation Fee or Termination Fees must be accompanied with a Termination Form. Approval/denial notifications will be sent out via your Georgia State email account within 10 days of receipt

Cancellation Reasons Below Must Be Supported With Documentation:

- Winter Graduation (Graduation evaluation letter)
- Emergency Withdrawal (Approved Decision letter from Dean of Students)
- Active Military Service (Active Duty Order)
- Spring Semester Study Abroad (Documentation of Study Abroad Arrangements from Study Abroad Office)
- Marriage (Official Documentation of Marriage)
- Withdrawal from University

Check Out Charges Appeal Form

Parking Charges Appeals Form

Please fill in the form below.

Please allow seven to 10 business days for your parking appeal to be processed.

University Housing Parking Appeals Form

Name
First Last
Panther ID
Are you a resident of Georgia State University Housing?
- Yes
- No
Phone Number
Student Email
Did you receive a parking ticket?
- Yes
- No
Parking Location
Reason for Fine*
Reason for Appeal
Car Make
Car Model
Car Tag Number
Car Model
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

Parking Cancellation Request Form

Cleaning Agreement Form

University Housing Cleaning Agreement

Please take the time to talk with your roommates regarding how the apartment/suite will be cleaned in preparation for check-out. In the space provided, please indicate which individuals will accept responsibility for the cleaning of each area. Please note that failure to properly clean each living space may result in a minimum cleaning charge of $50.00 per resident. Please make sure all roommates are in agreement with the cleaning arrangement before submitting this form.

Bedroom: Each resident is responsible for cleaning their own bedroom.

Staff will be looking for the following:

Floor swept or vacuumed
Dresser cleaned out
Closet cleaned out
All furniture cleaned and accounted for

Residence Hall
Building
Apartment/Room #*
Date of Agreement*
Date Format: MM slash DD slash YYYY
Name
First Last
Name of resident filling out this form
Email

Email of resident filling out this form
Number of Roommates
How many roommates do you have in the suites/apartment (excluding yourself)
Roommate Information
Please list names and email of all roommate living in the suite/apartment
Roommate 1 Name
First Last
Roommate 1 Email
Roommate 2 Name
First Last
Roommate 2 Email
Roommate 3 Name
First Last
Roommate 3 Email
Roommate 4 Name
First Last
Roommate 4 Email
Roommate 5 Name
First Last
Roommate 5 Email
Roommate 6 Name
First Last
Roommate 6 Email
Roommate 7 Name
First Last
Roommate 7 Email
Roommate 8 Name
First Last
Roommate 8 Email
Roommate 9 Name
First Last
Roommate 9 Email
Roommate 10 Name
First Last
Roommate 10 Email
Roommate 11 Name
First Last
Roommate 11 Email
Roommate 12 Name
First Last
Roommate 12 Email
Roommate 13 Name
First Last
Roommate 13 Email
Roommate 14 Name
First Last
Roommate 14 Email
Roommate 15 Name
First Last
Roommate 15 Email
Roommate 16 Name
First Last
Roommate 16 Email
Roommate 17 Name
First Last
Roommate 17 Email
Roommate 18 Name
First Last
Roommate 18 Email
Roommate 19 Name
First Last
Roommate 19 Email
Roommate 20 Name
First Last
Roommate 20 Email
Kitchen
MIcrowave
Floor (swept and mopped)
Oven (inside cleaned)
Stove Top Burners
Counter
Refrigerator / Freezer
Cabinet (cleaned out)
Sink
Remove all perishables
Trash (placed in chute / dumpster)
Common Area
Floor (swept / vacuumed / and or mopped)
Furniture (cleaned and arranged)
Thermostat (turned on and placed on 70 degrees cool)
Bathroom
Shower A/B
Shower C/D
Shower
Floor and Hallway A/B (swept, mopped, and / or vacuumed)
Floor and Hallway C/D (swept, mopped, and / or vacuumed)
Floor and Hallway (swept, mopped, and / or vacuumed)
Counter and Drawers A/B
Counter and Drawers C/D
Counter and Drawers (if applicable)
Toilet Base and Bowl A/B
Toilet Base and Bowl C/D
Toilet Base and Bowl
Number of Bathrooms on 1st Floor
1st Floor Bathroom 1
1st Floor Bathroom 2
Number of Bathrooms on 2nd Floor
2nd Floor Bathroom 1
2nd Floor Bathroom 2
Number of Bathrooms on 3rd Floor
3rd Floor Bathroom 1
3rd Floor Bathroom 2
Shared Bedroom
Please indicate the person responsible for each item
Floor A/B (sweep, mop, and / or vacuum)
Floor C/D (sweep, mop, and / or vacuum)
Dresser, Closet, Beneath Bed A/B (if applicable)
Dresser, Closet, Beneath Bed C/D (if applicable)
Trash A/B (place in chute/dumpster)
Trash C/D (placed in chute/dumpster)

Meal Plan Cancellation

Academic Year Meal Plan Cancellation

Mandatory Meal Plans

Students living in Patton, Piedmont Central or Piedmont North residence halls are automatically enrolled in a 7-day mandatory meal plan. Mandatory meal plans cannot be cancelled as long as you are living in the above mentioned residence halls. Cancellation fees are structured as listed below.

Voluntary/Non-Residential Meal Plans

Voluntary/Non-Residential meal plans can be cancelled anytime before Sept. 17. Cancellation fees are structured as listed can be found on the Panther Dining page.

Emergency School Closure Refunds

If the Board of Regents deems it necessary to close campus, we will follow their guidelines.

CANCEL MEAL PLAN

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DOCUMENTS AND FORMS

Downloadable Documents and Forms

Housing Charges Appeals Form

Cancellation Reasons Below Must Be Supported With Documentation:

Check Out Charges Appeal Form

Parking Charges Appeals Form

University Housing Parking Appeals Form

Parking Cancellation Request Form

Roommate Information

Kitchen

Common Area

Bathroom

Shared Bedroom

Academic Year Meal Plan Cancellation