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Forms: Elementary Maintenance Work Request

Elementary Maintenance Request

by Phyllis Lee

E-mail:

Date:

Cause of Damage:

Location:

Room Number or Area:

Work to be done:

Person making request:

Principal Approval:

  

Below to be completed by Maintenance Department

Date turned in:________________________

Assigned to: __________________________

Time to Complete: _____________________

Supply list:

 
 
 
 
 
 
 
 
 
 

 

Cost of supplies: _________________________

Completed date: _________________________

Accepted by: ____________________________

 

 

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