Damage Appeal Form, 2013-2014
California State University, Northridge
Office of Student Housing & Conference Services
Damage Appeal Form
2013-2014
Name :
Date : 2014/04/24
Student ID# :
(9 digits, no dashes)
Building :
Apt # :
Current Address
Address :
City :
State :
Zip Code :
Phone number :
Email address :

Appeal Description :

If you are claiming that the appealed charge(s) should be assessed solely to one or more of your roommates please include their contact information in your appeal description. Also include any additional evidence to support your appeal.

Damage appeals must be submitted within 60 days of the damage charge being posted to your account or we will not consider your appeal

You will be contacted within 72 hours of receipt of your damage appeal.