Clare College Cambridge

Damages Charges Form

Damages/Charges Standard Form

Student's Name .......................Room/Hostel .....................

Tutor ..........................

A. Damages

(to be completed by the Senior Housekeeper/Building Manager)

Description ............................................................................

..............................................................................................

..............................................................................................

Repair/Replacement charge: £ .....................................................

Signed ..................................Date ...............................

B. College Charge

(to be completed by the Dean of Students)

Description of incident (if different from above)

..............................................................................................

..............................................................................................

£ ............................

Total charge to student £...................

Other action taken (if any) ...........................................................

..............................................................................................

Signed ........................ Date ...................

C. Copy to:

Student: NB You should contact the Dean of Students within two days if you feel that the charge is in any way unfair or inappropriate. Otherwise the charge will be added to your next College bill.

Copy to: Tutor, Senior Clerk, Senior Housekeeper/Buildings Manager