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Kirkland Lottery Proxy
If you can't make it to your lottery time, you MUST designate a proxy and submit this form by 11:30AM on the day of your lottery
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* Indicates required question
Full Name
*
Your answer
HUID
*
Your answer
Full name of the person you are authorizing to choose your housing
*
Your answer
I understand that my housing proxy has been given the authority to choose my suite for next year and that this choice is final.
*
Yes
Required
I understand that it is my responsibility to get the Lottery Sheet to Amie by 11:30am on the day of my intended lottery.
*
Either you or your Proxy can deliver/drop off the form - but it is still required to enter the lottery.
Yes
Required
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