Belonging Recovery Form
Please fill in this form to enable us to help you recover your belongings that were left behind in Barus & Holley and the surrounding buildings, including the Lassonde Innovation and Design Hub and the Engineering Research Center. Staff and faculty will be on site at Graduate Center E to support you throughout this process. Reach out to campus_life@brown.edu with any questions.
Contact Information
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First Name
Last Name
Brown Email (Important: Use Only Your Brown Email Address)
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first_last@brown.edu
Phone Number (Include Country Code if International)
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Brown ID (on your Brown ID card)
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Have you previously completed the "Support for Students Who Lost Personal Belongings at Barus and Holley and Engineering Complex" Form?
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Yes
No
I don't know
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Where were your items left?
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Barus & Holley
Lassonde Innovation and Design Hub (formerly Prince Lab)
Engineering Research Center (ERC)
Which items were lost or left behind?
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Phone
Laptop or Tablet
Wallet
Room Keys or Brown ID
Identification (state ID, passport, other)
Keys
Medication
Other
Please provide as much detail as possible about where you left your belongings (e.g. building name, floor, classroom number, lounge, etc.)
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Are you available to pick up your items in person during the following time periods? Monday, Jan. 12 – Friday, Jan. 16: 12 noon – 4 p.m.Tuesday, Jan. 20 – Friday, Jan. 23: 9 a.m. – 4 p.m. (If yes, you will be able to select your time slot on the next screen.)
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Yes
No
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Reason you are not able to pick up your items in person?
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Studying Away/Abroad
On Leave
Have withdrawn or plan to withdraw
I need to assign a friend or family member to pick up my items
If you are not available to come pick up your items, how would you like them returned to you?
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Permanent Domestic Mailing Address (only available if you are studying away/abroad, on leave, or withdrawn from Brown)
Permanent International Mailing Address (only available if you are studying away/abroad, on leave, or withdrawn from Brown)
I need to assign a friend or family member to pick up my items (this option is available to all)
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Tell Us About Who Will Be Picking Up Your Items
Contact Information
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First Name
Last Name
Email
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example@example.com
Phone Number
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Pickup Windows
Please note: If you designate a friend or family member to pick up your items, you are responsible for selecting their pickup window and informing them of it. They must bring a paper or electronic copy of the confirmation receipt you’ll receive after submitting this form.
Please choose a pick up date and time. You may arrive at any point during the time window you select.
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Please Provide a Complete Mailing Address
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Is there anything else we should know? For example, you may remember additional items not listed on the original form or have serial numbers for any technology you left behind. This information may help us identify items currently listed as unknown.
Submit
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