Residence Departure Form

  • Date Format: MM slash DD slash YYYY
    Mail delivered to campus for residence students who have moved out is returned to sender. Please ensure that you update your mailing address with family, friends, and any online businesses you may order from. If you are expecting something that was sent prior to your move out date, please contact the Residence Reception Desk for assistance.
  • Receipt of this check out form is confirmation that you have vacated your room/building. A room inspection will be completed and access will be removed. Please ensure you have not left any personal items in your room.
  • Drop files here or
    Please take pictures of your clean room/suite and upload them here as proof you have completed the above checklist.
  • This collection notice may be appended to forms used by Academic and Administrative units to collect personal information from any individual who interacts with us. “Personal information collected through this form will be used and disclosed by Carleton University under the authority of the Carleton University Act, 1952, and in accordance with sections 39, 41 and 42 of Ontario’s Freedom of Information and Protection of Privacy Act. The purpose of this processing is to advise you have departed from residence. If you have any questions about the processing of personal information by Carleton University, please contact the Manager, Privacy & Access to Information, by phone at 613-520-2600 ext. 2047 or by e-mail via” If the collection is occurring through a web form, you can create a PDF of the completed notice and create a hyperlink with the following statement. The hyperlink would be linked to the words “privacy notice”: “By clicking submit, you acknowledge that you have read the privacy notice and you consent to the uses and disclosures identified”.