2025 Special Exemption Locker Application Form

Free Annual Locker Application Form

Apply for USU Locker Storage here. This form is open to anyone who requires an annual hire locker due to special circumstances or a disability inclusion plan. Through this form you can currently receive 1 free locker.
After filling out this form you will receieve 1 free locker pending approval. Please allow up to 2 weeks to receive your free locker information.

All free lockers are located on Level 2 Wentworth Building.
Name*

First NameLast Name
Pronouns*
Mobile Number*
Please enter a valid phone number.
Email*
example@example.com
USU Member Number*
Please note, this will be checked and if it is not valid your locker will not be processed.
USU Membership Type:*
SID:*
Are you a disability card holder?*
Please explain below why you require an annual hire locker:*
Please include your disability entitlement card number if applicable.

Free Annual Locker Application Form