Absence Notification Form

Complete and submit this notice of when you will be away from your Northwood Community Apartment, to notify Housing Staff. During your absence, the Housing staff will withhold delivering notices to your apartment door, and Housing Security will monitor the exterior of your apartment entrance, for safety.

Name: *

Address: *

Email: *

Phone:

Date/Time Departure:

Date/Time Return:

Will anyone be in your apartment during your absence, or have a key to your apartment?:

yes

no

If yes, please list the contact information for that person

Name:

Address:

Apartment (if applicable):

City/State/Zip:

Email:

Phone:

Is there a way to contact you in the event of an emergency?:

yes

no

If yes, please complete the following:

Address:

Apt (if applicable):

City/State/Zip:

Country (if applicable):

Email:

Phone:

Will you be leaving one or more vehicles in your assigned parking lot during your absence?:

yes

no

If yes, please complete the following:

Vehicle 1

Make & Model:

Year:

Color:

License Number:

Permit Number:

Lot Number:

Vehicle 2

Make & Model:

Year:

Color:

License Number:

Permit Number:

Lot Number: