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Residence Maintenance Request

Please provide the following information

Student information (phone number and email may be needed if folllow-up is necessary)

First name
Last (family) name
Student number
Email address
Phone number

Room information

Room number
Floor/section

Description of problem

Location in room. Please be as descriptive as possible; give all directions as though you are standing in the doorway to the room. (e.g. the outlet on the left side of the room between the bed and the desk)

Do you give Physical Plant permission to enter your room if you are not there when they arrive to fix the problem? (Work orders are completed much more quickly if you grant permission to enter)

Choose one of the following answers

Yes, Physical Plant has permission to enter my room without me
No, Physical Plant may not enter my room unless I am there

Please confirm you want to clear your response?