Maintenance Workorder Form

Please complete this form as thoroughly as possible:

Contact information
Your Name (required)

Your Email (required)

Your Phone (required)

Description of Request
Room Name or Number (required)

Type of request (required)
---RepairReplacementInstall New

Description of need(required)

Location of pre-purchased supplies (required)
Example: if you purchased a shelving unit to be installed, where can the shelves be found?
If nothing was purchased in advance, please indicate that in this box.

Request Scheduling
Today's Date (required):
Urgency of Request (required)
---High ImportanceMedium ImportanceLow Importance
High Importance: Something that interferes with your ability to do your job or something that could potentially cause harm to someone.
Medium Importance: Something that makes your job easier or save the church money by correcting, but is not high importance
Low Importance: Something that is a wish or desire, but does not potentially harm someone or cause you to not be able to do your job.

Requested Date of Completetion (required)
Requested Date Specified BelowAs soon as Possible (Urgent)When Possible (Not Urgent)

Additional Notes
Please use the space provided below to include any additional notes or comments you feel would be helpful in completing your request.