Salem State College
352 Lafayette Street
Salem, MA 01970
978-542-6000

Office of Facilities Management

Work Request Form

Name:
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.