SOUTHWEST COLLEGIATE INSTITUTE FOR THE DEAF
REQUISITION FOR MAINTENANCE SERVICE
TO: SWCID PROVOST
(ONLY EMERGENCY WORK ORDERS WILL BE TAKEN OVER THE PHONE)
Today's Date: ___________________
Requested Completion Date: _________ Bldg. or Location: ________________
Description of work requested (ONE ITEM PER REQUEST, PLEASE): __________
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The best day/time to work in this area/classroom is: ___________________
(Please attach additional sheets to this form if needed)
Person Submitting request: _____________________________________________
Approved by Department/Division Head: __________________________________
Approved by Provost: ___________________________________________________
Comments: ______________________________________________________________
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Reply: _________________________________________________________________
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Physical Plant Director: _______________________________________________
Signature Date
Work Started (Date & Time): ____________________________________________
Work Completed (Date & Time): __________________________________________
Charges: Yes / No - Amt: _______________________________________________