Room Condition Report

Step 1 of 3

Student Information
Student Name*
Brescia Email*
Enter Email Confirm Email
Residence Hall*
Upstairs or Downstairs
Room Number*
Apartment Number*
Apartment Bedroom Letter*

Bedroom
Bed/Mattress/Frame*
Description of Issue*
Image Required if Poor Condition*
Dresser/Drawers*
Description of Issue*
Image Required if Poor Condition*
Desk*
Description of Issue*
Image Required if Poor Condition**
Desk Chair*
Description of Issue*
Image Required if Poor Condition*
Wardrobe/Closet*
Description of Issue*
Image Required if Poor Condition*
Flooring/Tile*
Description of Issue*
Image Required if Poor Condition*
Walls/Paint*
Description of Issue*
Image Required if Poor Condition*
Ceiling/Overhead Light*
Description of Issue*
Image Required if Poor Condition*
Blinds*
Description of Issue*
Image Required if Poor Condition*
Window/Screen*
Description of Issue*
Image Required if Poor Condition*

Common Areas
Couch #1*
Description of Issue*
Image Required if Poor Condition*
Couch #2*
Description of Issue*
Image Required if Poor Condition*
Coffee Table*
Description of Issue*
Image Required if Poor Condition*
Kitchen Table*
Description of Issue*
Image Required if Poor Condition*
Kitchen Chairs*
Description of Issue*
Image Required if Poor Condition*
Bathroom Vanity & Mirror*
Description of Issue*
Image Required if Poor Condition*
Bathroom #2 Vanity & Mirror*
Description of Issue*
Image Required if Poor Condition*
Bathroom Shower*
Description of Issue*
Image Required if Poor Condition*
Bathroom #2 Shower*
Description of Issue*
Image Required if Poor Condition*
Bathroom AB Vanity & Mirror*
Description of Issue*
Image Required if Poor Condition*
Bathroom AB Shower*
Description of Issue*
Image Required if Poor Condition*
Bathroom CDE Vanity & Mirror*
Description of Issue*
Image Required if Poor Condition*
Bathroom CDE Shower*
Description of Issue*
Image Required if Poor Condition*
Refrigerator*
Description of Issue*
Image Required if Poor Condition*
Microwave*
Description of Issue*
Image Required if Poor Condition*
Oven*
Description of Issue*
Image Required if Poor Condition*
Common Area Walls/Paint*
Description of Issue*
Image Required if Poor Condition*
Common Area Ceiling/Overhead Lights*
Description of Issue*
Image Required if Poor Condition*
NOTICE
This form serves as a record of the condition of your room at check-in and check-out. It is your responsibility to thoroughly note the condition of the items listed above. Be as detailed as possible. The condition of your room at check-out will be compared with the information you provide at check-in. It is your responsibility to submit this form to the Office of Residence Life within three days of your arrival. Damages will be billed to each resident per room or area unless specific responsibility can be determined.

717 Frederica Street Owensboro, KY 42301 270.685.3131

Step 1 of 3

Student Information

Bedroom

Common Areas

NOTICE