Auxiliary Services

Housekeeping Work Order Form

Work Order Details
* Requested By:  
* Department:  
* Contact Name:  
* Email Address:  
* Contact Extension:  
Custodial Department Request
Work Needed:

Check all that apply:

Equipment Discard Details

Type of Equipment:

Cleared by Engineering?        

Cleared by Safety?        

Please Specify:  
Date Needed: If no date, explain in the notes area
* Building:  


1. Most carpets are shampooed on Friday. Please allow two weeks for work to be performed

2. Average time to complete moves is three to five working days
Additional Information:
Reference Number:

(If checked, you will be taken to the upload page once the form is submitted.)
* Security

Enter the code below, including spaces, as it appears to the right.

    12 sixteen 2018  


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