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Forms

Housing Payment Extension Form

Please complete this form if you are awaiting financial aid, loans, scholarships, etc. to submit your August (end of July) or January Installment Payment. *This form must be completed in advance of the semester for which you are awaiting aid.

Housing Payment Extension

Pet Registration Form

Bringing a Pet to the Daumier? Make sure to fill out this form to avoid unauthorized pet charges! This form must be filled out BEFORE bringing a pet to the Daumier *Vaccination records and certification are required.

Pet Registration

Resident Information Sheet

**Mandatory Form** Make sure to fill out this form to update your contact info, emergency contacts and vehicle information. A new form must be submitted every year

Resident Information

Move Out Notice/Termination Request (Current Term)

* For current Daumier residents who wish to move out before the end of their agreement date* We're so sorry to see you go! Before you do, make sure you ask us about any leasing options or policies that may apply to you and meet your needs. We offer a variety of options that may be helpful to you. Once you know when you will be moving out, the next thing we'll need from you is a completed Move Out Notice Request This form is due 60 days before your intended move out date. This form does not guarantee an approved move out.

Move Out Notice/Termination Request

New Resident Agreement Termination Request (Future Term)

* For students who have not yet moved into the Daumier but have signed an agreement*
Form submitted 45 days before the start of the agreement: $250 termination fee Form submitted 44 days or less: $500 termination fee
*Forms submitted on or after the start date of the occupancy agreement will be subject to termination fees calculated per the occupancy agreement guidelines
* This form does not guarantee an approved termination of the agreement.

Agreement Termination Request

RENEWAL Resident Agreement Termination Request (Future Term)

* For students who currently live at The Daumier and would like to cancel their signed renewal agreement*
Form submitted 45 days before start of the agreement: $250 termination fee Form submitted 44 days or less: $500 termination fee
*Forms submitted on or after the start date of the occupancy agreement will be subject to termination fees calculated per the occupancy agreement guidelines
* This form does not guarantee an approved termination of the agreement.

Renewal Agreement Termination Request

FERPA

* For students who want to release agreement information to their parents* It is the responsibility of the Daumier to protect the student’s right to privacy while being in compliance with the Family Educational Rights and Privacy Act ( FERPA). If a Daumier Resident wishes to grant permission to release information from your Daumier Lease Records, please complete and return the FERA Form to the Daumier. Please note that this consent form only allows release of information regarding the Daumier Student Housing Lease Records. It does NOT allow for release of information regarding Western University of Health Sciences Academic Records.

FERPA Release

Lease Transfer Posting Form

*This form is for current residents of The Daumier that are interesting in transferring their lease to a current WesternU Student, Staff, or Faculty member that does NOT already have an active lease for the current lease period. Information submitted to this form will be shared on the Daumier Website to aid you in finding another WesternU Student, Staff, or Faculty member to which you may potentially transfer your lease.

Post Your Lease for Transfer

Housing Application

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