Apartment Personal Check Out Sheet and Request for Deposit Return
Tenant Name: ________________________________________________ Semester: ________________
Apartment #: ____________
Bedroom #: _____________
Storage Closet #: _______
White Glove Job Assigned (Please circle one of the following):
Kitchen (#1)
Kitchen (#2)
Living Room & Porch
Vanity Counters & Hallways Bathroom East Bathroom West
Please clean your bedroom using the following checklist:
Wash mattress cover, fold, and place on bed (you will be charged for a missing mattress cover).
Remove clutter, personal items, and garbage. Your room must be empty when checking out.
Wipe down desk, blinds, and window sill. Wash window and window tracks.
Clean out closet and wipe down shelves.
Dust and clean closet rod.
Clear out, vacuum, and wipe out all storage under bed.
Lift up mattress, vacuum and wipe down bed frame around and under mattress.
Remove all pictures and posters and wipe down walls.
Wipe down all baseboards and trim.
Wipe down door and door frames (front, back, top, and both sides).
Wipe down door knobs.
Vacuum chair upholstery and wipe down chair legs.
Vacuum carpet, paying special attention to corners, along the walls, and under desk.
Vacuum closet floor.
Wash light covers, switches, and outlets, as well as heating vent.
Replace light bulbs and smoke detector batteries (you will be charged for any that are not replaced/missing).
Please read carefully: This form and the jobs listed on this form must be completed correctly and with the approval of
management in order to receive a refund of your security deposit. Your apartment and bedroom should be left clean
enough for new tenants to move into, without needing any further cleaning. Cleaning that is not accomplished
according to these standards will be deducted from your security deposit. Failure to follow correct check out procedures
will result in the forfeiture of any or all refunds. Be aware that your refund will be sent to the address listed on this
sheet. If you do not list an address, your deposit will be sent to the address listed on your contract.
I, _________________________________________, understand that any cleaning assignments not completed
according to management standards will be deducted from my security deposit. I also understand that I have the right to
check out with a manager, if I so choose.
Student Signature: ___________________________________________________
Date: _________________
Address for deposit return:
_________________________________________
_________________________________________
_________________________________________
Management Use ONLY:
White Glove Job: _____ Pass
_____Fail
Key Returned:
Yes ______
No ______
Bedroom:
_____ Pass
_____Fail
Management Signature: ________________________________________________
Date: _________________
Time: _________________