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Housing/Residence Life at 365bet
» Housing Complaint Form - Housing-Related Issues Only
Housing Complaint Form - Housing-Related Issues Only
Please don't fill out this input box.
First Name
*
Last Name
*
Email Address
*
Telephone Number
*
Format: (xxx) xxx-xxxx
Date of incident or situation
*
Location of incident
Names of individual(s) accused and/or involved
*
Description of incident
Please write a description of the incident, in chronological order. Provide details concerning your observations, actions of individuals and accurate statements made by all parties that you recall. Include names of witnesses.
Electronic Signature
*
Please enter your A# as confirmation. I affirm that all of the information provided on this form is accurate and that I am the authorized owner of the indicated student ID (A#).
Hidden Item
Form UUID
Site Name
Submit
Clear
Contact Us
Office:
Housing/Residence Life & Dining Services
Location:
Miller Hall, Room 121
Phone:
(931) 221-7444
Fax:
(931) 221-7165
Email:
housing@rockmark.net
Related Pages:
Health Services
Disibility Services
Public Safety
Maintenance Request
Technology Help Desk
Apply for Housing
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