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Division of Student Affairs
Request for Cancellation of UWF Housing Contract
This form may only be submitted by the legal contract holder.
We can not render a decision at the time of request.
Please allow at least 3 business days for a decision. Decision will be sent to the e-mail address you provide on this form.
If approved and in accordance with the contract terms and conditions, you may be subject to contract cancellation fees, prorated rent, damage fees or lost key fees.
Do not sign a lease off campus
while you are in the contract cancellation process.
You may be contacted by the Housing Office for additional information..
Check the Semester that you wish to request cancellation.
Fall 2011
Spring 2012
Summer 2012
Date:
First Name:
MI:
Last Name:
UWF ID:
Current Email Address:
Contact Phone Number:
UWF P.O. Box:
Permanent Home Mailing Address:
Current Bldg:
Room Assignment:
I am requesting cancellation of my housing contract based on the following reason
: (Check the button that applies)
Denied Admission.
Not attending UWF
Graduating!
Withdrawn from all classes.
Date of Withdrawal:
Transferring to another university.
Name of University:
Academically suspended.
Date of suspension:
Marriage (Must present copy of Marriage Certificate).
Date of Marriage:
Enrolled for “ON LINE” classes only.
Participating in an Internship Program, Co-Op Program, Student Teaching Assignment not in Escambia or Santa Rosa County, Florida, or participating in the UWF Study Abroad Program
Name of program:
One Semester Student Exchange Program
One Semester ESL Program Student
Requests submitted under the "other" box below will be denied based on the Cancellation Policy as stated in the Terms and Conditions of the Housing Contract. You can appeal the denial by going to uwf.edu/housing and submitting an Appeal-Denial of UWF Housing Contract Cancellation Form found under On Line Forms.
Other, please give a detailed reason:
When I click "submit" below I attach my electronic signature to this form.