Form Maintenance/Repair Request Maintenance/Repair Request Please use this form to submit a non-emergency work order for: • Repairs to existing building or property • Clean up from damage (structural leaks or plumbing issues) • Affixing permanent structure to walls or ceilings (TV's, dry erase boards, etc.) • Replacing burned out light bulbs • Electrical repairs • Furniture or heavy equipment moving Be as specific as possible and, if necessary, indicate a date for the work to be completed. A copy of this request will be sent to Tony Urso, Head of Custodial Services and Pam Loden, Parish Administrator and they will determine whether the work needs to be completed by staff or an outside vendor. DO NOT use this form to request space usage, event or classroom setups. Instead, use this form for that purpose.Your name*Your email address* Contact phone numberDate needed Space, room or location*BridgeConference RoomDay School Classroom (indicate room#)ElevatorEntrance (describe in detail)Fellowship HallGathering PlaceJAM RoomKitchenMusic RoomOffice (indicate room#)SanctuaryStaff Work RoomStudioVolunteer Work RoomWelcome DeskOTHER room (describe in detail or room#)Category*Air Conditioning/HeatingCarpet/FlooringCleaningEquipment RepairInstallation or MountingLandscapeLightingOther Electrical (not lighting)Pest/Bug IssuesPaintingPlumbingRoof or Foundation LeakSecurity (keys, locks, alarm system)OTHER (please describe in detail below)Ctrl-Click to select multiple selectionsIssue involves* Broken glass Bulb replacement Damage to fixtures Drain backup or clogging Flooding Heavy lifting Power issues Toilet overflow Other (explain below) Please describe your request in as much detail as possible*
