Office of Facilities Management
REQUEST TO SCHEDULE SERVICES

Name of Requestor:
Department:
Email:
Today's Date:
Building:
Floor:
Room #:
Telephone extension:
Location of Requested work:
Scope/Description of work:
Name of your Department Head:
Telephone Extension :
please note: in certain situations your deparment head must give authorization for the work you are requesting to be completed. Your department head will be notified by facilities if necessary.
Once you submit this form, you will you will be transferred to a screen that shows you what your form mail said. Use the Back button on your browser, clicking it twice to get back to the facilities main page, or once to get back to this page if you need to specify an additional request.

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