HRC Contract Cancellation Request Form

Cancellation Calendar
The cancellation form usually becomes available for students to submit for the following terms on the dates listed below (unless the day falls on a Saturday):
Fall Semester (current year or following year) - October 1st
Spring Semester - November 1st
Summer Terms - April 1st

Note: This form is a request for cancellation, and it is being submitted for Contract Cancellation Committee review. You are NOT guaranteed approval unless you will not be attending UA. After the Contract Cancellation Committee reviews your request, you will be notified via email of the committee's decision (for anyone other than a student that will not be attending the UA, please allow up to two weeks). All cancellation fees, prorated housing charges, and other charges as stipulated by the housing contract will apply, in the event that cancellation is granted.

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Student Information

Student Type Descriptions:
New Freshman - new incoming freshman that has not moved in
New Transfer - new incoming transfer student that has not moved in
Current UA Student - Freshmen & upperclassmen residents or UA student not living on campus

Cancellation Term:
Please select the term for which you want to cancel your housing contract, rather than the current term, if they are not the same
Yes No
Yes No
If no, please select a reason for not attending UA below:

Graduation

If you do not graduate and you enroll in classes the following semester, you will be billed for housing.

Marriage

Please fax, mail or drop off a copy of your marriage certificate in the HRC office.

Attending a different university
Transferring to a different university

Please note, if you enroll in classes, you will be billed for housing.

Withdrawal from UA

Please note, if you enroll in classes, you will be billed for housing.

ELI Withdrawal. Term of study has ended.
Study Abroad/Internship/Co-Op

Please fax, e-mail or bring to the HRC office, documentation of your participation in the above activity. Please note, to receive on-campus housing when you return, you must apply for housing by all HRC deadlines. If possible, please complete the housing application, contract, and deposit prior to leaving. You are not guaranteed your same residence hall upon your return, although we will try, space permitting, to accommodate your request.

If yes, please select a reason for requesting contract cancellation:
(Please note that Freshmen must also fill out a request for exemption from the Freshman Residency Program)

Medical reason

Please contact an assignments coordinator for assistance with a room change on campus.

Financial reason

Please provide a detailed explanation of your financial need, including alternate housing plan and how it will meet your financial need:

Other

Provide detailed explanation below:

Medical Requests
For room change requests due to medical reasons, do not use this form. Please contact an assignments coordinator for assistance with a room change on campus.

When is your proposed move out date, if your contract cancellation is granted?



You must check out of your residence hall room with a staff member in order to avoid improper check out charges. If you check out before your contract cancellation, and it is not granted, you will still be responsible for housing charges.

By submitting this application, you acknowledge that this is only a request, and contract cancellations are granted at the discretion of Housing and Residential Communities. Cancellation requests for students not attending the UA are normally automatically approved as long as the student does not enroll for classes. For anyone other than a student that will not be attending the UA, please allow up to two weeks. After the Contract Cancellation Committee reviews your request, you will be notified by your crimson e-mail account of the committee's decision.

Per your housing contract, if you are released from your contract, you will be responsible for any fees that accrue, based on the date of your contract cancellation.

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