Work Order Form 

Items marked with an asterisk (*) are required.

First Name:

Last Name:

(Important: If there is not a name AND valid email address, your work order will not be processed by Facilities Services.)

Contact Phone:

Department:

Email Address:

(It is very important you fill out your email address correctly.)

Org. Number:

(If this is not a maintenance issue, your department may be charged.)

Items marked with an asterisk (*) are required.

Specific Work Requested:

(Please describe in detail the work you would like requested from Facilities Services.)

Building Name:
Please Select BuildingAndersonBanfield HallBentwood (NSRL)Bill Ray CenterBookstore-Admin Services BldgC Bldg (THREA)Egan LibraryEllsworth HouseFitzgerald HouseHendricksonHendrickson AnnexMarine Core - see TECMarine Tech CenterMathisen HouseMattocks HouseMourantNSRL (Bentwood)NovatneySchaible HouseSoboleffSoboleff AnnexStoverStudent Housing LodgeStudent Housing AStudent Housing BStudent Housing CStudent Housing DStudent Housing EStudent Housing FStudent Housing GStudent Housing Banfield HallStudent Recreation CenterTappe HouseTEC (Marine Core)Whitehead

Room Number:

Desired Completion Date:

Special Considerations: