This is the room condition report form for the East Quad Area.

Name:
ID:
Class Year:
House (please select one) Cushing Emerson Jordan King Scales
Room:

I have inspected my room and found no damage or missing furniture. I understand that by submitting this form with this box checked, I am responsible for any damage or missing furniture charged to this room.

(if you entered the information above and checked the box, please scroll down to the bottom of this form and hit submit. If you have damage to report, please enter the check-in condition of each item as listed below)

ITEM

Door (outside and lockset):

Door (inside):

Dresser (and drawers):

Closet (and components):

Room walls (right):

Room walls (left):

Room walls (front):

Room walls (back):

Floor:

Ceiling:

Lights (and switch):

Desk (and drawers):

Desk chairs:

Windows (& screens):

Shades:

Bed Frames:

Mattresses:

Book Case:

Phone and Ethernet jacks:

Telephones:

Electrical and Cable Outlet:

Mirrors:

Smoke Detectors:

Recycling and Trash Bin:

SUITES

Love seats and chairs:

Floor (carpet):

Coffee and End Tables:

Living Room Walls:

Living Room Ceiling:

Showers/tub (including door/curtain):

Toilet:

Sinks (and faucets):

Bathroom Walls and Ceiling:

Bathroom Floors:

General Bathroom Fixtures:

I am aware that by submitting this RCR form that I am indicating that I have assessed the room/suite for damages and that I am responsible for any additional damages or missing items while residing in the room/suite.

BEFORE SUBMITTING: If you indicated any damage or missing items, please print a copy of this form for your own records before you submit it!