J. Addison School
nurturing tomorrow’s thinkers
English
contact us
maplewood portal
About
Principal’s Message
Mission & Values
JAS Now & Then
The Addison Advantage™
Testimonials
Admissions
How To Apply
Tuition Fees
Scholarships
Why J. Addison School
Study in Canada
Digital Brochure
Programs
Montessori
Elementary
Secondary
Boarding
Summer Programs
Focus for Success™
International Family Settlement Assistance (IFSA) Program
Athletics
Elite Basketball Programs
School Life
Activities
Volunteering
JAS Spirit
Character Building
Meal Plans by Cafe J
JAS Newsletters
Community
School News
Calendar
Gallery
Parent Portal
Student Portal
Graduate Profiles
Contact
School Contacts
Contact Us
Apply Now
Virtual Tour
COVID-19 School Updates
COVID-19 School FAQ
home
/
Security Deposit Release Form (Form D-5)
J. Addison School
2 Valleywood Drive
Markham, Ontario
Canada L3R 8H3
(905) 477-4999
Security Deposit Release Form
Form D-5
Step 1 of 4
25%
Student Name
*
First
Last
Date
*
Date Format: MM slash DD slash YYYY
Room Number
*
Bed Number
*
Description of Deductions
Date
Date Format: MM slash DD slash YYYY
Description/File # from Room Inspection Checklist (Form D-2)
Amount
Date
Date Format: MM slash DD slash YYYY
Description/File # from Room Inspection Checklist (Form D-2)
Amount
Date
Date Format: MM slash DD slash YYYY
Description/File # from Room Inspection Checklist (Form D-2)
Amount
Date
Date Format: MM slash DD slash YYYY
Description/File # from Room Inspection Checklist (Form D-2)
Amount
Date
Date Format: MM slash DD slash YYYY
Description/File # from Room Inspection Checklist (Form D-2)
Amount
Amount of Security Deposit Received
*
Total Deductions
Balance of Security Deposit Refunded to Student
*
Additonal payment is needed to cover damages exceeding the deposit
*
Yes
No
TO BE COMPLETED BY STUDENT
STUDENT ACCEPTANCE
*
I, the undersigned, understand the refund policy and agree with the balance refund as calculated above and to pay any outstanding amounts owing. I have removed all my belongings from the dormitory and will not expect J. Addison to store or be responsible for any items that may have been left behind.
Student First Name
Student Last Name
Student Signature
*
Date
*
Date Format: MM slash DD slash YYYY
TO BE COMPLETED BY DORMITORY STAFF
DORMITORY STAFF
*
The Dormitory staff confirms that the room is void of any damages and J. Addison will release the student’s security deposit in cash back to the student, unless a different method of refund was indicated on the student’s Dormitory Residence Application (form D-1).
Dormitory Staff First Name
Dormitory Staff Last Name
Dormitory Staff Signature
*
Date
*
Date Format: MM slash DD slash YYYY
TO BE COMPLETED BY ACCOUNTING