Request for Housing Deposit Refund

Request for Housing Deposit Refund
Only complete this form if you do not plan to return to Otero College and live in the Residnece Halls. This form must be completed to be issued your $200 housing deposit.

NOTE: Please make sure all your personal information is correct. If it is not correct we will make every effort to issue you a refund but may not be able.

*** All Fields Required ***
Student Number*
Enter Your S#
Name*

First NameMiddle InitialLast Name
Home Address*

Street Address

CityState / Province

Postal / Zip Code
Primary Phone*

Area CodePhone Number
Contract Year*
What year was your Residence Hall contract issued for?
I am:*
Select one
Known Damages*
List any known damages to the room you were issued. If there are none, type NONE
Room Number*
Residence Hall and Room Number
I am Requesting the Full Refund

Note: Understand this request for refund will be evaluated and assessed based on damages to the room you were issued and it's contents.

General costs for room repairs can be found in the housing handbook.
Should be Empty: