Security Deposit Dispute Form (Fort Collins)
Lease End Date
-
Month
-
Day
Year
Please select your lease end date found in your lease agreement or resident ledger
Select Property
Please Select
1050 Hobbit St - Bighorn Landing
1113 W Plum St - Eleven13 Apartments
1700 6th Ave - University Flats
221 & 303 W Prospect Rd - Prospect Station
2802 Kansas Dr - Kansas Apartments
3004 W. A Street - Poudre Trails Apartments
509 18th Street - Bears Village
515-525 E Drake Rd - Peaks on Drake
702-721 Glenmoor Dr - Glenmoor Townhomes
708 22nd St - Cityline Station
Please check both the name of your property and the address in the drop down options.
Unit #
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Upload any document that is related to your dispute
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I Am Disputing The Following Charges Withheld From My Security Deposit (Select All That Apply):
*
Painting Charges
Duplicate charges
Maintenance Charges
Appliance Charges
Flooring/Carpet Charges
Lock/Re-Keys
Utility Charges
Other
Add your dispute details
Please provide a written explanation for each charge being disputed under each category as well as the the charge details (which can be found on your resident ledger). The more information provided, the easier it will be to review your concerns. Note: The categories will appear dependent on your selections above
Painting Charges
Painting Charges
Painting Charges Being Disputed: (Please use the charges on your ledger to fill in the information below)
Rows
Transaction Date
Transaction Description
Merchant/Company Name
Refund Amount Requested ($)
1
2
3
4
Total Refund Requested For Painting Charges ($)
Explanation For Refund Requested (Painting Charges)
Maintenance Charges
Maintenance Charges
Maintenance Charges Being Disputed: (Please use the charges on your ledger to fill in the information below)
Rows
Transaction Date
Transaction Description
Merchant/Company Name
Refund Amount Requested ($)
1
2
3
4
Total Refund Requested For Maintenance Charges ($)
Explanation For Refund Requested (Maintenance Charges)
Flooring/Carpet Charges
Flooring/Carpet Charges
Flooring/Carpet Charges Being Disputed: (Please use the charges on your ledger to fill in the information below)
Rows
Transaction Date
Transaction Description
Merchant/Company Name
Refund Amount Requested ($)
1
2
3
4
Total Refund Requested For Flooring/Carpet Charges ($)
Explanation For Refund Requested (Flooring/Carpet Charges)
Utility Charges
Utility Charges
Utility Charges Being Disputed: (Please use the charges on your ledger to fill in the information below)
Rows
Transaction Date
Transaction Description
Merchant/Company Name
Refund Amount Requested ($)
1
2
3
4
Total Refund Requested For Utility Charges ($)
Explanation For Refund Requested (Utility Charges)
Appliance Charges
Appliance Charges
Appliance Charges Being Disputed: (Please use the charges on your ledger to fill in the information below)
Rows
Transaction Date
Transaction Description
Merchant/Company Name
Refund Amount Requested ($)
1
2
3
4
Total Refund Requested For Appliance Charges ($)
Explanation For Refund Requested (Appliance Charges)
All Other Charges
All Other Charges
All Other Charges Being Disputed: (Please use the charges on your ledger to fill in the information below)
Rows
Transaction Date
Transaction Description
Merchant/Company Name
Refund Amount Requested ($)
1
2
3
4
5
Total Refund Requested For All Other Charges ($)
Explanation For Refund Requested (All Other Charges)
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Dispute Summary
Total Refund Requested For All Dispute Items ($)
Note: The total amount will autofill for you
Date Of Submission
-
Month
-
Day
Year
Date
Submit
Should be Empty: