SCTC Facility Maintenance Request

Contact Name (First, Last) (*)


Email Address (*)


Company or Satellite Name


Contact Phone Number (*)


Location
Accounting Bathrooms (1st Floor) Bathrooms (2nd Floor) Board Room Building Exterior CBT Lab Check-in Desk Check-out Desk Classroom 104 & 105 Classroom 200 Classroom 220 Classroom 222 & 226 Customer Service Executive Global Health Human Resources Kitchen (2nd Floor) NCCER Room Partner Satellite Location Tech Services Other Council

Maintenance issues you are experiencing (Check all that apply) (*)
High Priority
Smoke/fire detected
HVAC
Electrical issues
Broken pipes/water leakage/standing water
Bathroom backup – sink or toilet
Broken windows/glass doors
Lock/Door not working
Broken sprinkler heads – gushing water
Broken lights/lights out
Other - High Priority

Medium Priority
Leaking faucets/faucets not working
Soap dispensers/toilet paper refill
Classroom issues making the room unusable
Furniture repair
Furniture purchase/move/assemble request (Mgt Approval)
Broken mini blinds
Rodents/ants discovered in building
Other - Medium Priority

Low Priority
General bulb replacement
General dirt areas discovered
Other - 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 (*)
High Medium Low

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