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Facilities Work Request

Hidden
Date of Request
DD slash MM slash YYYY
SECTIONS '1-9' TO BE COMPLETED BY REQUESTER
1) Name of Requester*
First Last
Hidden
User Login Name
2) Email*
3) Request type*
--Repair (Maintenance of 'existing' assets)
--Minor New Work (Out of budget' requests)
--Service Request (Inspections, equipment servicing)
4) Department*
5) Site*
6) Location/Room Number*
0 of 30 max characters
7) Request Title*
Follow format in below 'EXAMPLES'—This allows us to quickly identify your requirement. Please add further details in 'Remarks' field.
0 of 70 max characters
8) Remarks
0 of 350 max characters
9) File Upload
Max. file size: 100 MB.
Please add any photos or documents that will help to clarify your request. Thank you!
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***THIS SECTION FOR FACILITIES DEPARTMENT ENTRY ONLY***
Status ***FOR FACILITIES DEPARTMENT ENTRY ONLY ***
Notes ***FOR FACILITIES DEPARTMENT ENTRY ONLY***
CATEGORY***FOR FACILITIES DEPARTMENT ENTRY ONLY***
SELECT 'YES' IF THIS IS ELECTRICAL WORK
- 1
- 2
- 3
ELECTRICAL SYSTEM***FOR FACILITIES DEPARTMENT ENTRY ONLY***
SELECT 'YES' IF THIS IS ELECTRICAL WORK
- YES
Date Closed
DD slash MM slash YYYY
Completed by:
Staff member who completed works. (For multi-staff, select 'Facilities Team'
Comments
This field is for validation purposes and should be left unchanged.

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