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MAINTENANCE REQUEST FORM
Maintenance Request Forms should be turned in to the Front Receptionist
Desk. Any urgent requests should immediately be communicated to the front
desk by calling 383-4848 or in the evening to the R.A. Staff.
Please circle one:
Hawkins Hall
Room #
Turner Hall
Contact #
Person Making Request
What is your maintenance problem?
Light
Appliance
Other
Door
Problem
Plumbing
Key
Heating/Cooling
Please describe the problem briefly below:
Date Requested:
Initialed by:
Director of Student
Life
Date Completed:
Director of Facilities