Room Condition Form and Inventory

Room Condition Form and Inventory
Row Houses

This form is a legal and binding document to be completed by each resident.
Please use the Online Fix-It Request to request any repairs that are needed.

Last Name:		First Name:
Email:		Phone:
SUID: (number)	(8 digits with one leading zero, e.g., 09876543)

Your Residence:		Room number:
From the hallway door looking in:		If Other, please specify:
Please indicate the quarter you will be moving out of this room. (You will be moving out at the end of which quarter?)

Select a Condition Code for each item in your room.
Excellent In an unmarked, like new condition * carpet - no wax, no discoloration, no stains * walls - no pinholes, no blemishes, no missing paint or peeling * furniture - no scratches, new condition
Good Shows some wear/tear, but still in working condition; satisfactory, sufficient, no major attention needed. * carpet - small (1/4" to 1/2") bleach or dark stains * walls - 5 to 15 small pinholes, no nail holes, and/or any missing paint from bookshelves, windowsills * furniture - small (1" to 2") scratches
Poor Poor condition, but still functional * carpet - large (1/2"and larger) bleach or dark stains * walls - more than 15 pinholes, any nail holes, and/or any peeling paint * furniture - scratches larger than 2" in length
Needs repair Please include specific notes and complete a Fix-it Request. * broken drawers; drawers that are hard to open; * light covers that are missing, cracked or falling down; lights that are out; * towel bars that are missing or bent; * blinds or drapes that will not open or close or are hard to operate; * bedframes that are loose; * window latches that are missing or not working properly
Not present This item is not present in the room.
Not Applicable This item does not apply to my room.

Note: Please do not use nails or screws because damage
will definitely occur to the wall and paint. If any holes left in the walls require patching, you will be charged not only for fixing the holes but also for corner to corner painting of the entire wall.