The Room Condition Form and Inventory

 

This form is a legal and binding document to be completed by each resident.
To report needed repairs, please use the Online Fix-It Request.

Last Name: First Name:
Email: Phone:
SUID:
(number)
(8 digits with one leading zero, e.g., 09876543)
Residence: Suite:
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 apartment.
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 apartment.
Not Applicable
This item does not apply to my apartment.
Bedroom Condition Location/Comments (please specify repairs needed)  
Bed Frame  
Bed Mattress  
Bookcase  
Ceiling  
Chair  
Wardrobe  
Wardrobe-towel bar  
Desk  
Dresser  
Electrical Outlets  
Electrical-light switch  
Floor Covering, ie carpet, vinyl, etc  
Light Fixture and Cover  
Mirror  
Room number  
Room door frame  
Screen  
Smoke detector  
Trash Can / Recycle Bin  
Walls 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.
Window / Screen  
Window Covering, ie shades, blinds, curtains  
Living Room, Bathrooms, Hallway Condition Location/Comments (please specify repairs needed)
1 Sofa - upholstered
2 lounge chairs - upholstered
1 coffee table - oak
1 study table - oak
2 study chairs - oak
Window - glass pane
Window - screen
Window - curtains
Electrical - outlet covers
Electrical - light switch
Electrical - light bulbs
Wall - paint condition
Hallway Condition Location/Comments (please specify repairs needed)
Closet door / Wardrobe Door
Closet - coat rod
Electrical - outlet
Electrical - switch
Electrical - light bulbs
Wall - paint condition
Door - entry
Bathroom Condition Location/Comments (please specify repairs needed)
Sink counter/ cabinets
Sink faucet, drain, pipes
Shower head, handles, door, walls, drain
Toilet seat, paper dispenser
Toilet - walls
Walls: please be specific and list both location and etail of any damage noted
Other (specify heater here)
Comments  

If the apartment was partially occupied when you moved in (mid-year, for example), please make a note of its general cleanliness.

TSO/Phone Jack: Call 7-Help if repairs are needed for the wall jack for connecting your phone or computer or visit the Computing and Communication Services website.

I certify that the items noted were in the condition(s) as specified above. I have read this year's Residence Agreement and understand the conditions under which I will be charged for damages.

When you click on the button below, you will see a list of items that you have indicated need to be repaired. Please copy the list and paste into a Fix-It request. The instructions appear on the next page. Then you will see a summary of your responses to this form. Please print a copy of that page for your records.