Housing Charge Appeal

Please use the form below to submit a written appeal for housing charges placed on your student account.  This form is sent to Residence Life for review.  A response will be sent to you within 72 business hours.

*Name
*Student ID
*Email Address
(Please note that you must provide a UCCS Email Address for us to respond via email)
*Street Address
*City
*State
*Zip
*Fall 2011-Spring 2012 Room/Suite #
*Reason Please use the box below to explain the reason for your appeal
* denotes required field