Room Condition and Inventory

Building
Room #
Student Name Student Name First Last
Date Date / MM / DD YYYY
Please note any missing or damaged items:
Entry/Door/Jam/Lock
Closet Doors
Carpet
Towel Bar
Window/Screen
Window Coverings
Ceiling/Lights
Outlets/Phone/Ethernet
North Wall
East Wall
South Wall
West Wall
Smoke Detector
Chest of Drawers
Desk/Computer Shelf
Desk Chair
Mattress
Bed Frame
Waste & Recycle Can
Bed Pad/Pillow
Other
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