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Seventeen Seventeen Ala Wai

Resident Absence Notice

Unit #

Departure Date*

Return Date*

Emergency Contact

First name*

Last name*

Phone*

Emergency Contact has access to my apartment

The Following person(s) (First/Last Names) will be staying in my unit during my absence.

If necessary, you can reach me at:

Address*

Phone*

Email*

I understand that all notices accumulated during my absence, as stated above, will be held at the security desk. I further understand that if I fail to pick up my accumulated notices within 72 hours after my return date, as stated above, the notices will be disposed of.

Residents First, Last Name

Resident Signature*

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Resident Signature Date*

Month

Day

Year

© 2025 Seventeen Seventeen Ala Wai. All Rights Reserved.

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