Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters.

Residence Maintenance Request

Please provide the following information
Student information (phone number and email may be needed if folllow-up is necessary)
Residence name
Room information
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)
(This question is mandatory)
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)