ROOM CONDITION REPORT (RCR)
Ithaca College considers the room/suite to be in like new condition unless otherwise indicated on this RCR and verified
by Residential Life staff. If this RCR is not returned to the appropriate Area Office within 5 business days of checking in, I agree
that the room/suite is in like new condition. I understand that:
It is my responsibility to take care of my room and to report maintenance needs as they occur;
All costs for damages will be shared equally by my roommate(s) and me unless otherwise agreed upon by the individual(s)
responsible for the damages;
It is my responsibility to notify my Residence Director if changes in my room condition occur before I check out;
It is my responsibility to complete proper check out procedures when I move out of my room.
There may be further charges related to my room upon completion of a final room inspection by my Residence Director; and
By not submitting an RCR, I forfeit my right to appeal any charges resulting from damage billing.
I have inspected my room and have made any necessary notes on this RCR to accurately reflect the
condition of my room. I recognize that I may be billed for the cost of repair to any item in my room and
that this RCR will be the basis for damage billing.
______________________
________________
______________
STUDENT SIGNATURE
ID NUMBER
DATE
_________________________________
CELL PHONE NUMBER
How to Fill Out This RCR:
Please fill out ALL the relevant portions of this document in either blue or black pen,
NO PENCIL PLEASE. Please sign and date this document as required and provide your
Student ID Number (above), and your Building and Room Number (right). Failure to do
so may result in future damage billing charges upon checkout.
Before moving your items into the room, please take time to examine the condition of
all the items in the room and note their condition in the appropriate area on pages 2
and 3 of this document:
Building _________________
Room________________
1. Open and close all the drawers on the desks and dressers in the space.
2. Open and close the room door, inspecting for damages to the knob, lock or peephole.
3. Look inside the closet, examining the walls for damages, graffiti, etc. Please make
sure that there is a towel bar in each closet space.
4. Open and close each window, examining the closing of the window as well as the
condition of the screen, the window, the drapes/blinds.
5. Turn on and off each light switch in the room space, inspecting for light bulbs being out or missing, as well as examining the light switch faceplate for cracks or
damage.
6. Examine all room outlets, including electrical, cable and data jacks and Ethernet
Ports, for damages to faceplates, hanging wires, etc.
7. Examine the shelves in the room, making sure that they are mounted to the wall
securely.
8. Examine the heater and knob, making sure that the knob turns easily.
9. Using the diagram on page 3 of this document, please examine the Walls (A/B/C/
D) and illustrate any damages or marks that you may see.
10. Examine the bed—mattress and frame—for any damages. Please indicate on the
form whether a bunked/lofted bed has a safety rail.
11. Examine the ceiling for any cracks, water marks or damages to the surface.
12. Please make sure that each room’s smoke detector is installed.
13. Examine the mirror in the room for any cracks and chips and note the damage on
this document in the appropriate area.
Student’s Name _____________________________________________
Last Name
First Name
T
D
S
Type of Room (circle)
ROOM CONDITION STATEMENT OF RESPONSIBILITY
As you check-in it is important for you to sign this completed room condition report (RCR). Recorded on this RCR are any preexisting damages in your room. When you check-out of your room, any damage which is not recorded on this RCR and which is
identified by a Residence Life staff member during a final room inspection will be billed to your student account.
Items
# of
Items
Check-In Condition / Notes
Check-Out Condition / Notes
Frame (L & R)
Bed
Mattress (L & R)
Safety Rail
(bunked / lofted beds)
Desk (L& R)
Desk
Hutch (L& R)
Chair (L& R)
Dresser
Drawer(s)/ Surface(s)
Outside
Room #/ Plate
Door
Knob / Lock
Inside
Peephole
Wall(s) (L & R)
Closet
Towel Bar
Existing Hook(s)
Glass
Window
Drape(s) / Blind(s)
Screens (L & R)
Light Fixture(s)
Lights
Light Switch
Outlet(s)
Data / Cable Jack(s)
Recycle Bins
(Blue / Green) (L&R)
Misc.
Shelves
Smoke Detector
Heater
Bulletin Board
Mirror(s) (L& R)
Ceiling
Surface
INSPECTION CODES:
CT: Contractor
MR: Maintenance Request
SD: Student damage
Window / Wall A
Carpet
In the space provided, please illustrate/draw any
marks, tears, or stains. If your room layout does not
match the one depicted (i.e. your door is not across
from your window), modify your wall labels to fit your
room layout.
Be as detailed as possible.
Wall
D
Wall
B
Door / Wall C
Additional Carpet Notes:
Carpet Checkout Condition:
Walls
In the space provided, please illustrate/draw any marks, paint chips, writing, etc. on the walls. In every residence hall room, Wall A is the
wall facing you when you walk in, and is usually the wall with windows. Clockwise from wall A is wall B, and so on. Write any details or additional notes in the space provided. If your room has an entryway or does not fit this layout, modify the spaces below and be sure to note the
condition of those walls as well. Be as detailed as possible.
Additional Wall Notes:
Wall A (window)
Wall B
Wall C (Door)
Wall D
Wall Checkout Condition:
Drapes
Door
Recycling Bins
Furniture Reset
Personal
Belongings
Excessive
Cleaning
Clean of food, tape, gum residue, stains, marks and damage, such as rips and tears. Vacuumed at checkout.
Clean of stains, smudges, tape residue, tears, rips in fabric or on the rubber backing
Clean of tape, sticky tack or other residue. No paint missing/chipped, peephole in place or other damages,
2 bins– clean and free of residue, $15/per container
All furniture should be reset to its original configuration.
$25.00/minimum to reset furniture
Any/all personal belongings left in the room following
checkout will be removed. Removal will be charged to
residents. $25.00/minimum to remove items
Facilities charges a minimum of $25.00 per room for any
cleaning done subsequent to resident vacancy of room.
Resident
Responsible:
Y or N
TOTAL BILL
Checkout Inspection Summary
Carpet
Clean of holes, marks, gouges, stains, residue, etc.
No damage such as paint chips, patches, tears, holes, etc.
EXPECTATION OF CONDITION UPON CHECKOUT
Ceiling
Clean of stains, marks, smudges, tape marks. No damage
such as paint chips, patches, tears, holes
ITEM IN ROOM
Walls (A/B/C/D)
Free of obvious tears and holes
SD: Student damage
Window Screen
MR: Maintenance Request
Date of Inspection:
Staff’s Name:
CODES
CT: Contractor
CHARGE
$10.00 + Any
addtn’l contract
charges
CODE(S)
WORK ORDER #
/PAVE #