Employee Move In Form

EMPLOYEE MOVE-IN FORM

This Employee Move-In Form documents the assignment of company-provided housing and the condition of the premises at the time of occupancy. By signing below, the Employee acknowledges receipt of keys and property, accepts the move-in condition record, and agrees to comply with the terms, responsibilities, and company policies stated herein.

Property Information

Unit/Apartment:    Move-in Date:    Lease/Assignment ID:

Employee Personal Information

Phone:    Email:

Position Information

Reporting Manager:    Employment Start Date:

Employment Status:  Full-time Part-time Temporary/Contract

Move-In Inventory & Condition

The undersigned documents the items provided and the condition of the premises at move-in. Check items issued and note quantity or condition where applicable.

Keys Issued:  Main door  Mailbox  Parking/garage  Other:

Meter Readings (if applicable) — Electric: Water: Gas:

Employee Employment History (Most Recent)

Title:    Dates Employed:

Employment History (Prior)

Title:    Dates Employed:

Education

Graduation Date:

References (Professional)

Phone:    Email:    Relationship:

Phone:    Email:    Relationship:

Phone:    Email:    Relationship:

Legal Disclosures and Policies

At-Will Employment: Employment is at-will and may be terminated by the Company or the Employee at any time, with or without cause or notice, unless otherwise provided in a separate written agreement signed by an authorized representative of the Company.

Equal Employment Opportunity: The Company provides equal employment opportunity regardless of race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable law. Housing assignments and related benefits will be administered in compliance with these principles.

Occupancy Terms, Maintenance & Liability

Employee is granted temporary occupancy of the premises as a job-related housing benefit. Employee shall maintain the premises in a clean and sanitary condition, promptly report maintenance issues to the Company, and shall be responsible for damages caused by willful acts or negligent conduct. Normal wear and tear is excluded. The Company reserves the right to charge the Employee for repair or replacement costs for damage beyond normal wear and tear; Employee authorizes deduction from payroll for reasonable repair costs where permitted by law and Company policy.

Subletting, assignment, or permitting non-authorized occupants is prohibited unless expressly approved in writing by the Company. Failure to comply may result in termination of occupancy and disciplinary action up to and including termination of employment.

Authorizations & Consents

By signing this form the Employee authorizes the Company to contact prior employers and references supplied in this form for the purpose of verifying employment history and references. The Employee further consents to background or credit checks related to eligibility for housing assignment where permitted by law.

I authorize the Company to contact prior employers and references for verification and background purposes.

I authorize reasonable payroll deductions for repair or replacement costs for damage to company-provided housing where permitted by law.

Acknowledgement and Certification

I certify that all information provided on this form is true and complete to the best of my knowledge. I acknowledge receipt of the move-in condition report and inventory listed above, and I agree to the occupancy terms and Company policies set forth in this form. I understand that housing assignment is contingent on continued employment and compliance with Company rules.

Move-Out / Termination Notice

Employee agrees to vacate the premises within days of termination of employment or termination of housing assignment, unless otherwise agreed in writing by an authorized Company representative.

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