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Facilities Work Request

"*" indicates required fields

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Date of Request

SECTIONS '1-9' TO BE COMPLETED BY REQUESTER

1) Name of Requester*

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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*

7) Request Title*

Follow format in below 'EXAMPLES'—This allows us to quickly identify your requirement. Please add further details in 'Remarks' field.

8) Remarks

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

ELECTRICAL SYSTEM***FOR FACILITIES DEPARTMENT ENTRY ONLY***

SELECT 'YES' IF THIS IS ELECTRICAL WORK

YES

Date Closed

Completed by:

Staff member who completed works. (For multi-staff, select 'Facilities Team'

Name

This field is for validation purposes and should be left unchanged.

Your Experience survey

Facilities Work Request

SECTIONS '1-9' TO BE COMPLETED BY REQUESTER

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THIS SECTION FOR FACILITIES DEPARTMENT ENTRY ONLY

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Your Experience survey

Facilities Work Request

SECTIONS '1-9' TO BE COMPLETED BY REQUESTER

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***THIS SECTION FOR FACILITIES DEPARTMENT ENTRY ONLY***

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