Please remember to fill out this check out form accurately, prior to departure. After departure, CEA will assess any damages so that costs of repairs and servicing can be applied against students’ security deposits. Cost of damages will be divided equally among all apartment residents unless individuals claim responsibility for specific damages and notify us prior to check-out. Failure to complete this form may result in delayed return of your security deposit and additional assessment fees.

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* 1. Apartment Address

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* 2. Apartment Number or Floor

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* 3. Resident First Name

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* 4. Resident Last Name

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* 5. CEA Program

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* 6. Check out date and time

Date
Time

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* 7. Are you and all your roommates checking out?

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* 8. Keys: 
I have put my complete set of keys in an envelope labeled with my name on it and have followed my housing advisor’s instructions regarding what to do with the envelope upon departure. I understand that if I do not return all of my keys and do not comply with these instructions, I will be charged a 300€ administrative fee plus the cost to replace my keys. If my door cannot securely close without the key, I have contacted the CEA Housing advisor prior to my departure.

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* 9. Personal Belongings – Donations
I left unwanted belongings in good condition in a sturdy bag or box marked "donation" in the entryway (maximum two bags/boxes per apartment).

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* 10. Personal Belongings – Printed material
I left all apartment books/manuals and the red binder on the bookshelves in the common area. I have removed my textbooks

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* 11. Trash
I have put all trash into trash bags and placed them in the designated trash bins for my building in bags that easily fit into the garbage bins. I have not left any trash outside of the garbage bin, which could result in city fines. Note that you should begin taking out trash BEFORE check-out day.

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* 12. Kitchen – Refrigerator and freezer
I have emptied and wiped out the refrigerator AND freezer. I have defrosted the freezer if necessary-DO NOT TURN IT OFF OR LEAVE TO DEFROST UNSUPERVISED.

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* 13. Kitchen – Food items
I have removed all food items (perishable and nonperishable) from the kitchen.

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* 14. Kitchen – Kitchenware
I have washed and put away all the kitchenware.

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* 15. Kitchen – Appliances
I have left all appliances (oven, countertop, stovetop, etc.) cleaned and in good condition.

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* 16. Kitchen – Comments
Damages or maintenance issues in the kitchen to report (i.e. clogged drains):

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* 17. Bathrooms – Personal items
I have removed all personal items and trash from the bathroom(s).

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* 18. Bathrooms – Sinks, showers and tubs
I have scrubbed and wiped down the bathroom sink area(s), showers and tubs. I have cleaned the toilet.

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* 19. Bathrooms – Comments
Damages or maintenance issues in the bathroom(s) to report (i.e. clogged drains):

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* 20. Bedroom- Personal items
I have removed all personal items in the bedroom and throughout the apartment, including items from walls and cork boards.

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* 21. Bedroom – Bed
I have left towels and bathmat hanging to dry in the bathroom. I have removed all the provided bed linens (including the mattress pad, the comforter, blankets and pillow) and left them in a pile on the floor, next to my bed. I have removed or donated the linens and towels I brought from home.

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* 22. Bedroom – Bed label
I have written my full name on a piece of paper and left it on my bed.

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* 23. Bedroom – Comments
Damages or maintenance issues in the bedroom to report:

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* 24. Common areas – Windows and curtains
I have opened all the curtains and closed all windows tightly (and locked windows if possible).

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* 25. Common areas – Lights and appliances
I have turned off all lights, fans, appliances, and all of the apartment’s heaters.

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* 26. Common areas – Door
I have closed the front door firmly behind me.

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* 27. Common areas – Comments
Damages or maintenance issues in the common areas to report:

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* 28. ANY OTHER COMMENTS OR INFORMATION REGARDING THE CONDITION OF YOUR APARTMENT?

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* 29. I have completed this form to the best of my ability and know that the conditions stated above are true to my knowledge.

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* 30. Electronic Signature (First and Last name)

Bon Voyage !

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Damage Price list

<strong>Damage Price list</strong>

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