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UNIVERSITY OF MINNESOTA DULUTH
FACILITIES MANAGEMENT
Work Request Form
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Billing Information
Please do not use this form to report situations that could result in fire, major property damage, safety hazards, or jeopardize campus security.
For immediate assistance or questions, please call x8262 or
follow Emergency Procedures.
Fields with an
*
must be filled in.
Requestor and Contact Information
Name:
*
(First and Last)
Phone:
*
Email:
*
(username@server.name)
Department:
*
Location of Maintenance Need
Building OR Site/Equipment:
*
Floor:
Room:
Description of Requested Maintenance
Description of Work:
*
Account Information
Fund (4)
DeptID (5)
Account (6)
Program (5)
ChartField1 (10)
ChartField2 (10)
Fin EmplID (8)
Cost Share (2)
Sponsored:
Fund (4)
DeptID (5)
Account (6)
PCBU (5)
Project (8)
Activity (1)
ChartField1 (10)
ChartField2 (10)
Fin EmplID (8)
Cost Share (2)
Thank you for Submitting this request
NOTE:
If this maintenace requires charges, you will be notified before work begins.
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