UTA Guest Apartment Reservation Request Form

All guests must be 21 or older or accompanied by someone 21 or older, have official University business, and be hosted by a university department.

One-bedroom units have a maximum occupancy of two people. Two-bedroom units have a maximum occupancy of four people. All occupancy standards must be followed.

Guest Apartments are located with our college student apartment housing and guests should be aware they are going to be living in a community with college students.

The UTA Pick Up Designee will pick up the keys from the Guest Services office located in the Kalpana Chawla Hall, 901 S Oak Street, Arlington, Texas - 76013. Please call on the Guest Services Contact Phone - 817-272-6963 and someone will be present to assist you with the welcome packet for the Guest.
To View the availability of the Guest Apartments, please use the following Link:
Check-In & Check-Out Dates

Check-in begins at 3 PM and the Guest must Check-out by 10 AM.
Check-In Date Check-In Date / MM / DD YYYY
Check-Out Date Check-Out Date / MM / DD YYYY
Nightly Rates

1 Bedroom/ 1 Bathroom
$110/ night

2 Bedroom/ 2 Bathroom
$135/ night
Apartment Type Requested

Apartment Type Requested 1 Bedroom/ 1 Bathroom 2 Bedroom/ 2 Bathroom
ADA Accessibility or Accommodations

ADA Accessibility or Accommodations Yes No
If yes, please mention the type of accommodations required.
Parking

Guest planning to park on campus will need to purchase a parking permit prior to the their arrival to avoid possible citations. Guest can register their license plate numbers to Parking and Transportation Services Office. License plate numbers are also required for rental vehicles. UTA faculty and staff staying in the Guest Apartments and needing to park on campus must also purchase a permit prior.
Guest Information

All guests must be on campus for official university business. The Guest Apartments are not for personal use.
Purpose of Visit of UT Arlington
Guest Name Guest Name First Last
Guest Email
Guest Phone Guest Phone - ### - ### ####
UTA Host Department Information

All guests are required to be hosted by a UTA Department
Host Department Name
Host Name Host Name First Last
Host Email
Host Contact Phone - Business Hours Host Contact Phone - Business Hours - ### - ### ####
Host Contact Phone - Afterhours/ Emergency Host Contact Phone - Afterhours/ Emergency - ### - ### ####
UT Share Cost Center
Payment Information

Please use the link if the Guest is paying through a credit card - https://secure.touchnet.net/C21611_ustores/web/store_main.jsp?STOREID=133&SINGLESTORE=true

If the Guest is unable to pay through the credit card, the UTA Host Department is responsible for all the charges.
The Service will be paid by

The Service will be paid by Guest UTA Host Department Split
If the payment is split, please mention how you would like it to be broken.
If the guest is paying any portion of the invoice, please indicate their form of payment.

If the guest is paying any portion of the invoice, please indicate their form of payment. Check Credit Card
Pick-Up Designee

The person you designate must be affiliated with the host department and bring along with them their UTA issued photo ID to the Guest Services Office at the time of pick-up. If your designee(s) is unable to pick up keys and swipe access card during regular business hours or your guest checks-in during weekends, you must contact the Guest Services Office in advance. A minimum of three business days’ notice is advised.
Pick-Up Designee Name Pick-Up Designee Name First Last
Pick-Up Designee Email
Declaration

Declaration I understand that the above provided information is correct to the best of my knowledge. I understand that failure to return the keys and access cards by the check-out time 11 AM on the check-out date will result in a $200 charge to the Host Department to replace the Door Lock, Key and Swipe Access Card.

UTA Guest Apartment Reservation Request Form

Check-In & Check-Out Dates

Nightly Rates

Parking

Guest Information

UTA Host Department Information

Payment Information

Pick-Up Designee