Building Maintenance Request Date Date Format: MM slash DD slash YYYY Name*Relationship to Center*StaffTenantRenterLocation of Issue*Please describe the location of the issue as thoroughly as possible, including the floor, room, part of the building.Type of issue (check as many as applicable)* Clean-up Needed Paint Plumbing Electrical IT/Computer/Printer/Fax/Phone Insects/Bed Bugs/Fleas Structural Keys/Doors/Locks Lights Signage Safety Issues Furniture/Equipment Repairs Needed Description of issue*
