University of West Florida

Housing and Residence Life

Request for Cancellation of UWF Housing Contract

This form may only be submitted by the legal contract holder.
We can not render a decision at the time of request.
Please allow at least 14 business days for a decision. Decision will be sent to the e-mail address you provided.
If approved and in accordance with the contract terms and conditions, you may be subject to contract cancellation fees, prorated rent, damage fees or lost key fees.
Do not sign a lease off campus while you are in the contract cancellation process.
You may be contacted by the Housing Office for any additional questions.

Check the Semester that you wish to request cancellation.

Spring 2008
Summer 2008
Fall 2008
Spring 2009

Date:
First Name:		MI:
Last Name:		UWF ID:
Current Email Address:
Contact Phone Number:
UWF P.O. Box:
Permanent Home Mailing Address:
Current Bldg:		Room Assignment:

I am requesting cancellation of my housing contract based on the following reason:: (Check the button that applies)

I am a newly admitted UWF Student and have decided not to attend.

I am graduating from UWF!

I am a current UWF Student and have withdrawn from all classes.
Date of Withdrawal:

I am a current UWF Student and I have decided to transfer to another university.
Name of University:

I have been academically suspended.
Date of suspension:

I will be interning or participating in a Co-Op program not in Escambia or Santa Rosa County, Florida.
Name of program:

Other, please give a detailed reason:(750 characters max)

Requests submitted for "other" may meet a University Housing Contract Appeals Committee, the decision of which is Final.

When I click "submit" below I attach my electronic signature to this form.