Housing Agreement Cancellation Due to Withdrawal

By filling out this form, you are requesting the cancellation of your housing agreement due to your withdrawal from the University of Colorado at Colorado Springs. You can only submit this form after you have withdrawn from the University.

The refund policy is as follows:

For the Spring 2008 Semester, you will be charged weekly, based on when you check out with your Resident Assistant up to February 23, 2008. After February 23, you will still need to check out with your RA, but there will be no refund for Tuition, Fees, and Housing Charges.

In all cases, your $200.00 Security Deposit will be forfeit.

UCCS - University of Colorado Colorado Springs

© University of Colorado Colorado Springs
1420 Austin Bluffs Pkwy, Colorado Springs, CO USA 80918
719-255-8227 (UCCS), 800-990-8227

CU - University of Colorado: Boulder | Colorado Springs | Denver | Anschutz Medical Campus

*Last Name
*First Name
*Student ID
*Email Address
*Date of Withdrawal from the University
*Reason for Withdrawal
*Semester of Application
*Agreement	By checking this box, you certify that all of the above information is correct. You also accept the terms of the cancellation, and understand our cancellation policies. You will be contacted via email at your UCCS account once your request has been verified and accepted.


	* denotes required field