UCA Housing - Fall 2020 Cancellation Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this form if you need to cancel your 2020-21 UCA Housing application. We will cancel any reservation or waiting list position you have for UCA Housing.

Email *

By completing this form I understand that this will cancel any housing application for the 2020-2021 academic year. I understand that this will remove me from my 2020-2021 assignment and $50 of my deposit will be released to by Student Account if I complete this by August 7th. After August 7th, I understand that I am forfeiting my deposit but cancelling my housing for Fall 2020. I understand I have to cancel by August 14th to avoid further charges. *

Yes, I have read and understand.

First Name: *

Last Name: *

UCA ID # (formatted like "B0123456") *

Are you cancelling housing due to COVID-19 related concerns? *

Yes

Clear form

Never submit passwords through Google Forms.

This form was created inside of University of Central Arkansas. Report Abuse

Forms