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Facilities Management Division
Non-Emergency Maintenance/Repair and Service Request Form


If your request is an EMERGENCY, please CALL the main Facilities Management line: 468-3357.

For NON-EMERGENCY MAINTENANCE AND REPAIRS, please complete this form.

This form is also for SERVICE REQUESTS which are NOT maintenance repairs and are considered unplanned requests that are done in the order in which they are received. Service Requests are the lowest priority in Facilities Management's work queue.
Your department will be charged back for materials and supplies and possibly labor.


** Required fields

**Please Check One:
 
     

Deparment and Location where service is requested:

** Department:

** Building/Location:

**Address(Include City):
 




   **Room #:


**Requestor:

** E-mail:

   ** Phone:
                                                                  


** Detailed Description of
Work Requested:



  
* Any documentation supporting the service request
 Attachments (3 maximum):
 
 
 
 NOTE:total size of attachments should be 40 MB or less. Zip your attachments if their total size is larger than 40 MB.

Security Code:
Visual verification


     




Facilities Management Office

44 North San Joaquin Street
Fifth Floor Suite 590
Stockton, CA 95202
Phone: (209) 468-3357
Fax: (209) 468-2186