Room Condition and Emergency Contact Report - Traditional and Suite Style Halls

Traditional and Suite Style Halls

Welcome to the UMass Lowell Residential Community. This easy online form is how you: 

- Check into your room 

- Verify the condition of your furniture

- Submit emergency contact information  

Please note that existing damage or missing furniture not reported through this form when you arrive may result in charges when you move out. All students living in campus housing are required to fill out this form within 24 hours of moving into a new space.

Contact Information

Hall/ Building


Date of Birth

Room Number

Student ID Number

Damage Report

If you have damage to report, please document the current condition of each item as listed below

Door (outside, inside, and lockset)


Dresser (and drawers)

Closet/Wardrobe (and components)

Room Walls

Please indicate right, left, back and front as if you were standing in doorway looking into room


Lights (including switches)

Desk (and drawers/bookcase)

Desk Chairs

Windows (and screens)

Bed Frames


Phone and Ethernet jack

Electrical Outlets


Smoke Detectors


If Applicable (Donahue, Sheehy)

Loveseats and Chairs


Endtables and Coffee Tables

Living Room Walls/Ceiling

Bathroom Walls/Ceiling


Bathroom Floors

General Bathroom Fixtures (showers, toilet, etc)

Refrigerator (If applicable)

Emergency Contact Information

Below are standard questions to identify who your contact would be in case of an emergency.

Emergency Contact Name

Contact Phone Number

Emergency Contact's Relationship to you

Your Phone Number

In the case of an emergency, do you have a place to go that is off campus?

Check into your room!

Please contact your hall staff should you have any questions. You can also contact the Office of Residence Life at, or 978-934-5160.