THEARC CAMPUS FACILITIES REQUEST FORM
Your Name
Tenant/Property Name
(Lobby, WSG, Levine, etc.)
Work Phone
Mobile/Other Phone
Email
example@example.com (Facilities will respond to this email)
How Urgent is this Repair and or Request?
Please Select
Low
Normal
High
Immediate/Emergency
What Type of Request and/or Problem are You Reporting?
*
Please Select
Select One
Plumbing
Electrical
AC / Heating
Appliance
Door / Window
Maintenance
Janitorial/Cleaning
Facilities Supplies-Restock
Equipment Repair
New Key ($20)
New FOB ($20)
Hard Key Replacement ($20)
FOB Replacement ($20)
Other
(Maintenance, Equipment Repair, etc.)
Date of Discovery problem.
-
Month
-
Day
Year
Date
Location of Problem
(Bathroom, ceiling, floor, etc.)
Describe the Request and/or Problem in Detail
Has work been done recently on this problem or have you made this request before?
Please Select
Yes
NO
Have you requested or reported this problem before?
Yes
NO
Date of Submission.
-
Month
-
Day
Year
Date
Images of Incidents.
Browse Files
Please upload if you have images of incidents to report
Cancel
of
Online Work Request Submitted
FOR OFFICE USE ONLY.........
Task start date
-
Month
-
Day
Year
Date
STATUS OF REQUEST
IN PROCESS
Contact Tenant
ON HOLD
Completed
Other
Name of person Completing the task
First Name
Last Name
Comments/Close out notes/Next Steps
Submit
Should be Empty: