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Maintenance / Custodial Work Request: For Office Use Only

The document is a maintenance request form that includes fields for the request date, work location, description of work needed, priority level, and sections for office use to track completion.

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Roha Adam
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488 views1 page

Maintenance / Custodial Work Request: For Office Use Only

The document is a maintenance request form that includes fields for the request date, work location, description of work needed, priority level, and sections for office use to track completion.

Uploaded by

Roha Adam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Maintenance / Custodial Work Request

Date of Request: ____/____/_____ Requesting Party:__________________________________

Work Location: ________________________________________________________________

Description of work/repair:

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Requested Priority:

[___] High - Must be done within 24 hours.

[___] Medium - Within the week.

[___] Low – When you get a chance.

For Office Use Only:

Date Reviewed: ____/____/_____ Priority Assigned: __________________________________

Authorized By: _________________________________________________________________

Comment:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Date Work Completed:____/____/_____ Number of Days to Complete: ___________________

Work Assigned To:______________________________________________________________

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