REOC Maintenance Request Form

Please use this Mach form to request any type of maintenance assistance.

Please choose one

Please choose one Staff Faculty Other
Name Name First Last
Phone Phone - ### - ### ####
Email
Location of Request (i.e. room number, Welcome Center, LRC, etc.)
Priority Level

High Priority - select if task is critical and high importance; it could cause serious disruption of service, damage to building/equipment ex. leaky pipes, broken equipment.
Medium Priority - select if task is important, but not critical
Low Priority - select if task is of low importance and not critical
Area Requesting Maintenance Assistance

Area Requesting Maintenance Assistance Custodial Equipment Lighting Room Key Temperature Other
Please list a description of the issue or further information for the Maintenance Team
Please upload any files or screenshots that might assist us with this request
maximum 5 files whose total size may not be more than 10MB
filenames should not contain more than one period (.)