Housekeeping Clearance Form (Check-Out)
Guest Name
Room Number
Check-Out Date
Check-Out Time
Remarks
Item/Area
Status
Remarks
Bathroom
Clean
Needs Attention
Bed Linen / Towels
Present
Missing
Damaged
Floor / Carpet
Clean
Dirty
Mini Bar
Checked
Replenish Needed
Other (specify)
Additional Notes
Housekeeping Staff Signature / Date
Supervisor Signature / Date