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2. Notice

   The Facilities Management Department DOES NOT:

   • Move any filing cabinets that are not empty.
   • Assemble office furniture or desk chairs.

   Please use facilities personnel ONLY when large pieces of office furniture need to be assembled or taken apart.

   Relocation of office furniture Must BE coordinated with Procurement before Work Order is submitted.

4. Contact Name*
5. Contact Email*
7. Contact Phone Number*
8. Department*
10. Building Name (i.e. Bldg B, Annex, etc.)*
11. City*
13. Reason for Request*
    -- Select One --Custodial (to include light bulbs)ElectricalGrounds MaintenanceHVAC - heating, venting, air conditioningKeys (Must be approved by Department Director)Pest ControlPlumbingRequest for QuoteStructuralOther
15. Request Description*
17. Photo Attachment

    Please submit a photo for work orders that are a result of damage.

Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field