Maintenance Request Form

Please fill in all boxes and click submit. All fields starting with * must be filled out, or the form will not be accepted.

*Requested by:

*E-mail:

*Campus Phone Number:

Department/Organization:

*Location of problem be specific with room number or floor!


*Check One:

Urgent

Need immediate assistance.
(no heat, power outage, plumbing,  broken locks -24 hrs)

Routine

Jobs selected & completed "first come first serve".
(keys, lighting, windows, doors, furniture - 2 to 7 days)

Planning Ahead

Prior scheduling is required.
(painting, carpentry, repairs, projects, office moves - 2 weeks)

*Work Needed (One Job Per Work Request Please)