Please complete the following form only if you plan to leave your current residence and work remotely. Students planning to leave and not continue working remotely or remain enrolled, should complete a petition for a Non-Medical Sabbatical or Medical Leave from the Graduate Office website: http://www.gradoffice.caltech.edu/forms-petitions. Students in Caltech housing must contact the Housing Office prior to departure to arrange for any refunds or waiver of early move-out penalties, if applicable.