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Building Maintenance Request

Employee Name*

Answer required for "Employee Name"

Staff E-Mail Address*

Answer required for "Staff E-Mail Address"

Location in which maintenance is needed*

Answer required for "Location in which maintenance is needed"

Briefly describe the work that needs to be completed*

Answer required for "Briefly describe the work that needs to be completed"

Date*

Answer required for "Date"

Time*

Answer required for "Time"

Importance of request*

Answer required for "Importance of request"

Emergency

As soon as possible

As time permits