Microfridge Action Request

Please complete this form if you would like to have your Microfridge moved to your new room, want to have maintenance performed on your Microfridge, you wish to transfer your Microfridge to your roommate, or you want to return your MicroFridge.

If we will be moving your Microfridge, for any purpose, please defrost, unplug, and clean your unit before you submit this form. This will ensure that the Microfridge is ready for ResLife staff to move.

I Understand and Agree

Select One:*

Move Microfridge

Microfridge Needs Maintenance

Transfer Microfridge to Roommate or Other Resident

Return Microfridge (Please note that the cost of a Microfridge will not be refunded for the academic year after August 1)

Renter Information:

Last Name:*

First Name:*

Student ID Number:*

Phone Number with area code:

Truman Email:*

Microfridge Information:

Current Building:*

Current Room Number:*

Action Requested:

Building You Are Moving To (If Applicable):

New Room Number (If Applicable):

If maintenance is being requested, please provide a detailed description of the maintenance concern with this Microfridge unit:

If transferring Microfridge, please provide name of roommate to whom Microfridge shall be transferred:

Please note that, for transfer to be complete, your rooommate or other resident must complete a Microfridge Rental Request/Contract.

If transferring Microfridge, please provide student ID of roommate to whom Microfridge shall be transferred:

Do not fill in the following field

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