EmailMe Form - Online Housing & Dining Appeal Form

Online Housing & Dining Appeal Form
Rice University Students and/or Organizations may use this form to appeal charges made to their account by the Housing & Dining Office. Please fill in all of the required fields and state your case in an easily understood format.

Date *

YYYY

Name *

Rice ID # *

Your Email *

Phone Number *

###

####

Organization (If Applicable)

College *

Room Number (If Applicable)

Does this appeal relate to a disability? *

Yes

Are you a student registered with Student Disability Services? *

Yes

What are you appealing? *

Please be specific and reference a specific work order if applicable.

Detailed Description *

Please explain in detail your reason for appealing

Submit letter or document (Optional)