Roommate/Suitemate Agreement

Roommate/Suitemate Agreement:

Service or Support Animals

By signing this form, I am indicating that I have been informed of the plan of my roommate or suitemate to have the following Service Animal or Emotional Support Animal in our suite/apartment:

Residence: ________________________________________________________

Name of Roommate: ________________________________________________

Type of Animal: _____________________________________________________

Physical Description of Animal (Breed/Color):

__________________________________________________________________

I agree to live in the residence with the animal. I understand that I will not be financially responsible for any damage caused by the animal and that the care and safekeeping of the animal is not in any way my responsibility. I also understand that if any misconduct or difficult issues arise due to the presence of a Service Animal or Emotional Support Animal, I will contact a Residence Life representative.

I also understand that I can revoke this agreement at any time. If I were to change my mind about agreeing to live with the animal, I will work with Residence Life staff to find a mutually agreeable housing resolution.

Printed Name: ______________________________________________________

Signature: _________________________________________________________

Student ID: __________________________  Date Signed: __________________