Residence Maintenance Requests Name* First Last Room Number*Today's Date* Date Format: MM slash DD slash YYYY Type of Issue*Please select the type of issue you are havingPlumbingElectricalGeneral RequestDescriptionPlease describe your issue/requestEmail*Phone Number*Date to fulfill request Date Format: MM slash DD slash YYYY Time to fulfill request : HH MM AM PM Residence Policy*In accordance with the residence policy, it is your duty to ensure the upkeep of your room. Any major unreported issues found in your residence room may result in eviction. I have read the above statement, and agree I am responsible for my room.EmailThis field is for validation purposes and should be left unchanged.
