EmailMe Form - Damage Billing Appeal Form

Damage Billing Appeal Form

This form is intended for students who wish to appeal a damage charge assessed to their student account following checkout from campus housing. All appeals must be submitted within 14 calendar days of the charge being posted. Appeals submitted after this deadline will not be reviewed.

Please note:

Appeals must include supporting documentation (photos, email correspondence, check-out forms, etc.).

Appeals are reviewed on a case-by-case basis and do not guarantee a reversal of charges.

All appeals will be reviewed by a University Committee, and the committee’s decision is final.

Student Information
Name *
First Last
Regis Student ID *
Regis Email *
24-25 Residence Hall *
Room Number *
Billing Information
Date of Charge Notification:
MM / DD / YYYY
Amount Charged
$ Dollars . Cents
Description of Charge: *
Appeal Explanation (why are you appealing the charge) *
Attach all documents when submitting this form.
Additional upload
Additional upload
Additional upload
Required Supporting Documentation Checklist *
Photos of room condition at checkout
Completed Express or Standard Checkout form
Email communications with Housing staff
Other relevant evidence
Acknowledgement and Signature
By signing below, I acknowledge the following:

I have reviewed the Regis University Housing Contract, including policies related to damage billing and student responsibility.

I understand that this appeal does not guarantee a reversal or reduction of charges.

I understand that appeals without documentation will not be reviewed.

Appeals will be reviewed by a University Committee, and the committee’s decision is final.
Signature *
Clear
Date *
MM / DD / YYYY