Damage Appeal Form

If you believe there is an error in the damage billing assessed to your assignment, please complete this form by June 30, 2014.

Please fill in all fields. If you have any questions, please feel free to email us at dcl@brandeis.edu or call us at 781-736-5060. You will receive email notification once the form is received. Fields marked with * are required. Forms with incomplete information will not be processed.

*First Name:

*Last Name:

*Email Address:

*Sage ID #:

*Home Phone #:

Cell Phone #:

*Spring 2014 Housing Assignment:



*1. Please describe the damage you wish to appeal:

*2. Check the box that best defines the basis for your appeal:

The damage was present prior to my occupation and notated on the Room Condition Report.
The condition described did not exist at the time of my check-out.
Other (Cannot include items listed in 3). Briefly explain your basis in the text box below:

3. The above reasons are the only grounds for appeal. Grounds for appeal do not include:

  • Price: The fees assessed for damage are calculated by the Department of Facilities based upon materials and labor on a fixed menu; these are non-negotiable.
  • Other people are responsible: You are responsible for the residence hall room you are assigned during the academic year.
  • My roommate/suitemate caused the damage: If so, they should notify us to accept responsibility for the damage.
  • Damage existed when I moved into the room: Students are responsible for noting any pre-existing damage on the Room Condition Reports (RCRs) when the move into the room. RCRs were checked when assessing damage.

4. Appeals that meet one of the criteria describe in (2) will be thoroughly researched by the Damage Appeal Committee, with the assistance from the applicable Community Development Coordinator and/or Facilities Management. Documentation may include Room Condition Reports, quad inspection notes, and photographs in more serious cases.