Work Request - AHC - Research Building Management Services, University of Minnesota

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Work Request

* required

Submitted by*

Phone* Email*

Contact Person*

Phone* Email*

Building*

Floor or Room*

For emergencies and urgent requests (4 hours or less)
(floods, alarms, card reader doors, etc.)

Call	NHH Info Desk	612-626-0911
	MCB Info Desk	612-625-3511
	LRB/MTRF Info Desk	612-624-1611
	717 Info Desk	612-626-6386
	Maureen Scaglia	612-625-2967 (O) 612-685-2205 (C)
	David Lee	612-624-0616 (O) 612-221-8382 (C)

Do NOT Leave Messages

Urgency

Within 2 business days
Within 5 business days
Within 10 business days
When available
Other (please explain):

PI/Facility (if applicable)

Description of problem (please be specific)

Additional Location Information (please be specific, include lab bench # for MCB, MTRF, NHH)

Please check all that apply

Security
Temperature/HVAC
Autoclaves/Dishwashers/Dryers
Electrical/Plumbing/Gas/Vacuum
Building Maintenance
FM Work Orders
Equipment
Lighting
Furniture/Casework
Construction
NTS (Telephone/Computer)
Other (please explain):

Charge To Account (required for modifications, repairs, etc.)

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