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Maintenance Request Form
Employee Information
First Name
*
Last Name
*
Email Address
*
Phone Ext.
*
Work Request Details
Please provide the appropriate responses to the following items relevant to the location where the work is to be done by the Maintenance Department.
Date Needed
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2019
2020
2021
2022
2023
Campus
*
- Select -
Dowagiac Campus
Niles Campus
Both Campuses
Off Campus
Building-Location
*
- Select -
Alumni Plaza
Bookstore Annex
Briegel Building
Daugherty Building
Jerdon Hall
Kairis Building
Lyons Building
Maintenance Building
Mathews Library
MCC-East
MCC-West
McKenzie Hall
North Field
Nursing
O'Leary Building
Soccer Field
Softball Field
White Hall
Wood Building
Zollar Building (SAC)
Main Building
M-TEC
Maintenance Building
Off Campus
On Campus
Other Location
*
Please describe the location where the work is to be done in the space provided above.
Room No.
*
Moving?
Yes
By checking Yes above, a ticket will automatically be created for Computing Services
so they can provide assistance with moving computers and phones to the new location and updating the appropriate records as to your new location.
Describe Work Needed
*
Please email any images regarding the work that is being requested to
maintenance@swmich.edu
.
Are you changing or canceling a maintenance request previously submitted?
*
Yes
No
Special Instructions/Comments
Please provide specific details in the Special Instructions/Comments field.
Form Submission
Automatic Routing
: Behind the scenes and based on the information provided on your form, the following individuals will immediately receive an email with the details of your submission:
You
Vice President and Chief Business Officer
Key maintenance staff
Your supervisor (based on email address entered in
Supervisor Email
field below)
Note
: Your immediate supervisor must approve all Maintenance Requests. Please insert his/her email address in the field provided below.
Additional Recipients, if any, (based on email address(es) entered in
Additional Recipient(s)
field below)
Note: If you need to include more than one email address in this field, simply insert each additional email address in the field separated by a comma (and no spaces), for example:
rschmeichel@swmich.edu
,
jluthjohan@swmich.edu
.
If you checked
Moving
above, a ticket will automatically be created in the Computing Services Ticket system when this form is submitted.
A ticket will be automatically created in the Maintenance Ticket System when this form is submitted.
Submitting the Form
: Once you have filled in all the required fields (which are designated with a red asterisk), click on the
Submit Maintenance Request Form
button to electronically transmit your form and activate delivery of the automatic routing detailed above.
Supervisor Email
*
Additional Recipient(s)