| STUDENT INFORMATION |
| First Name: |
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| Last Name: |
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| FIDN#: |
A - -
(enter numbers only) |
| Residence Hall: |
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| Bedroom in Which You Are Appealing Damage Charges: |
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| Cell Phone Number: |
- - |
| Home Phone Number: |
- - |
| Email: |
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WRITTEN APPEAL
Brief Summary of Appeal:
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| Please write a short paragraph describing why you feel the charges are incorrect. Standard damage billing charges can be found in the Residential Life Handbook, available here. |
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