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SCTC Facility Maintenance Request

Contact Name (First, Last) (*)

Email Address (*)

Company or Satellite Name

Contact Phone Number (*)


Maintenance issues you are experiencing (Check all that apply) (*)
High Priority

Medium Priority

Low Priority

The problem is

The problem started when (Describe what occurred)

The problem happens when (Describe the issue, what the person is doing when it starts, or any factor you think is related to the problem)

The problem has happened (How many times)

Requested Priority (*)

Please provide the reason for the Requested Priority. If there is a deadline related to your request, please provide your requested timeline. (*)


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