CSUSM Housing Appeal Form

CSUSM HOUSING

University Village Apartments

San Marcos, CA 92078

(760) 750-3711

uva@csusm.edu

The QUAD

San Marcos, CA 92078

(760) 750-3730

quad@csusm.edu

North Commons

San Marcos, CA 92078

(760) 750-8310

northcommons@csusm.edu

Please select the type of request you'd like to submit: * 🛈

Student ID Number: *

Student First Name: *

Student Last Name: *

Property *

The QUAD

University Village Apartments

North Commons

Email Address: *

Phone #: *

Please provide a written explanation and any supporting documentation (official documentation from your academic department, email correspondence, etc.) with this appeal form. Your appeal needs to provide a clear description of the situation preventing you from completing the terms of your agreement.

The supporting documentation should outline a change that has happened between the time you entered the agreement until the time you requested to terminate the agreement.

Failure to do so will result in the review of your appeal being delayed or denied. Submitting an appeal does not guarantee that fees will be waived.

The appeal form is only for the cancellation/termination fee. Any installments and/or other charges applied to the account will not be considered in your appeal. These charges will be considered the responsibility of the Licensee per the agreement.

Once a final decision is made, you will receive a written decision that will be e-mailed to the address submitted on your Appeal Form. Only one appeal can be submitted.

Please select the reason why you are appealing: * 🛈

Please explain in detail, the nature of your appeal, including what significant change occurred from when you signed your license agreement, to when you canceled/terminated your license agreement. This will help the appeal's committee make an informed decision. *

Upload Attachment (Supporting documentation) *

*

I understand that this submission is a request and does not guarantee that appeal will be approved

*

I understand that in order for my appeal to be considered, this form must be submitted within 5 business days of my cancellation/termination request.

*

I understand that in order for my appeal to be considered, I must complete this entire form, provide written appeal explanation and submit all supporting documentation with this submission

*

I understand that failure to submit any requested documentation as outlined in this form may cause your appeal decision to be delayed or denied.

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I understand that the appeal form is to appeal only the cancellation/termination fees.

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I understand that once submitted, all decisions made by the appeal's committee are FINAL.

Student Signature *

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