Traveler Name: ______________________________Inspection Date: _____________________________
Property Name: _____________________________Property Address: ___________________________
Unit #: ______________________________ City/State/Zip: _____________________________
*** Apartment Move-Out Check List Please Return to Housing within 3 Days of Move Out ***
Items |
Comments |
Items |
Comments |
Living Room |
|
Other Bedroom |
|
|
Doors/Locks |
|
Doors/Locks |
|
|
Carpets |
|
Carpet |
|
|
Walls |
|
Walls |
|
|
Windows/Screen |
|
Closet |
|
|
Drapes/Blinds |
|
Windows/Screens |
|
|
Electrical |
|
Drapes/Blinds |
|
|
Closet |
|
Electrical |
|
|
Other |
|
Other |
|
Kitchen |
|
Bathroom |
|
|
Floors |
|
Doors/Locks |
|
|
Walls |
|
Walls |
|
|
Cabinets |
|
Floors |
|
|
Counter Tops |
|
Shower Tub |
|
|
Dishwasher |
|
Sink/Counter Top |
|
|
Refrigerator |
|
Mirror/Medicine Cabinet |
|
|
Range/Oven |
|
Toilet |
|
|
Garbage Disposal |
|
Towel/TP Rack |
|
|
Electrical |
|
Electrical |
|
|
Other |
|
Other |
|
Hall |
|
Bathroom (2nd) |
|
|
Closet |
|
Doors/Locks |
|
|
Walls |
|
Walls |
|
|
Carpet |
|
Floors |
|
|
Electrical |
|
Shower Tub |
|
|
Other |
|
Sink/Counter Top |
|
|
Master Bedroom |
|
Mirror/Medicine Cabinet |
|
|
Doors/Locks |
|
Toilet |
|
|
Carpet |
|
Towel/TP Rack |
|
|
Walls |
|
Electrical |
|
|
Closet |
|
Other |
|
|
Windows/Screens |
|
Other |
|
|
Drapes/Blinds |
|
AC/Heater |
|
|
Electrical |
|
Patio/Balcony |
|
|
Other |
|
Washer/Dryer |
|
|
|
|
Other |
|
Complex Manager: Please review the notations made on this form and sign your approval.
Nurse Signature: _____________________________________ Move-Out Date: ___________________________
***This document must be returned within three days of your scheduled arrival and scheduled departure. The complex manager must sign his approval of all notations. Please note that you are responsible for all damage incurred during your stay. Any resulting charges will be deducted from your pay until all fees have been paid in full. *** REV. 9-06