Facility Maintenance Form

Note:  For Audio Visual requests please call 727-4723, ext. 2500, 7:30  am - 8:00  pm, Mon-Fri and 8:00  am - 4:00  pm  Sat.  For work order processing, please complete the following information:

Required Field*

Full Name:

 Tel/Ext:

Program or Department:*

 E-Mail

Staff

 Student

 Day Program

 Evening Program
Problem Area:      

Bldg/Rm#*

   Classroom:
Lab:
Other:

When was problem encountered: Date:   (dd/mm/yy)*
Nature of Problem:      
 
Too Hot Cleanliness Furniture Condition
Too Cold Garbage Furniture Requirement
Ventilation Recycling Acoustics
Lighting Blackboard Brush Whiteboard Brush
Other    
 
Please describe condition, if necessary:
 
     
 

Click on the Submit button to forward your request to Physical Resources Service Desk

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Send Comments to Webmaster  Last Revised:  January, 2005