MAINTENANCE WORK ORDER REQUEST FORM

This form is for general maintenance, HVAC and renovation requests only.

Please fill out this form completely, or your request may be delayed.  You will receive confirmation of receipt, and Maintenance staff will follow up for scheduling.

Confirm All Emergencies (Alarms - Fire - Spills - Water) first to Public Safety at ext. 1794 or 1795, then to Maintenance at ext. 1790.

Room/Furniture Setup for Meetings   please contact Deborah Jones in the Office of Public Affairs (ext. 1745) for room reservation and authorization.
Property Transfer   please contact the Business Office for Property Transfer Form and authorization.
Custodial Services  please contact Housekeeping at ext. 1850.

Name 

Bldg/Room for Svc.

Dept.  

FAX
Phone 

Email Address

Pager   
Room Reservation Confirmation No.
Category of Request:
Please check all that apply from the following categories.  Provide details of your request in space below.
General Maintenance
  Furniture Assembly   Replace Lights
  Hang Pictures/Plaques   Pest Control
  Rearrange Furniture   Other General Maintenance
HVAC (Heating, Ventilation, Air Conditioning)
  Electrical   Plumbing 
  Room too hot   Room too cold
  Water leaks   Other Mechanical
Renovations
  Carpeting   Painting
  Electrical   Case Work
  Other Renovations
Account No. to Charge for Renovations   Date Request

Detailed Job Request:

Make sure you have filled out all fields of this form completely, or your request may be delayed.  , then Submit below.