UTMB Special Use Facilities Cancellation Form

This form provides you with an easy way to cancel a reservation at one of our facilities. Cancellations must be submitted in writing at least 48 hours prior to the scheduled event. If the cancellation is not submitted to our office, a cancellation fee equal to the applicable room rate will be assessed. We will confirm your cancellation within 24 hours.

Please provide us with information about the event you would like to cancel:
Event/Guest arrival date:
Event Title/Guest Name:
Confirmation Number:
If this is a recurring event, please indicate additional dates needed to be cancelled:
UTMB Room Location:
UTMB Room Location:
Contact Information:
Requestor's Name
Email Address:
Telephone:

Additional Comments:

Please provide us with information about the event you would like to cancel:

Contact Information: