Request For Custodial Care / Maintenance Or Repair

Request For Custodial Care / Maintenance Or Repair
Type Of Request*

UrgentNon UrgentRoutine (Please schedule recurring service)
Is this an emergency? (such as a water leak, exposed wires, fire hazard, dangerous situation, etc.)

Don't fill out this form.

Call Todd Favre at 618-779-8818.
How Often?

DailyWeeklyMonthlyQuarterlyAnnuallyOther
When Do You Need This Done?

MonthDayYear
Date
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Area Or Department For Service Request*

WorshipAdmin / OfficesCafeBookstoreGym & Student LoungeCreation Corner / EductationPavillionParsonageOutdoorOther
Describe Exact Service Request Location*
Type Of Service Requested*

General Cleaning / Custodial ServiceMaintenanceRepairPainting / Touch UpAssembly Of ItemsInstalls (brackets, shelves, etc)Clean FlooringOther
Describe The Service Needed*
Date Completed?
Work Order Submission Date

MonthDayYear
Date
Who Completed The Service?
Notes For Project (Does this service need to be referred to a contractor?)
-Move this job back to the open clipboard if you can't complete the work.
Should be Empty: