This form is to be used for requesting custodial or maintenance services for the residence halls at Eastern Oregon University.
Name Of Submitter:
Submitter's Email Address:
Submitter's Phone Number
Residence Hall Information
Name of residence hall:
If this is for Multiple Halls, List Them Here
Description of request:
Please give a detailed description of the work that is needed.
Date/Time the Resident Will be Available:
Example: 9/1/17 2pm
2nd Date/Time Resident Will be Available:
Example 9/5/17 3pm
Name of Resident:
Resident's email address:
Select one of the following answers:
I hereby give authorization for the proper personnel from the university to enter my room/residence and make the necessary repairs or adjustments without my presence.
I prefer to be in my room/residence when the necessary repairs or adjustments are being done. I acknowledge this may take longer to fulfill the request due to scheduling conflicts
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