Hillsboro School District Dispenser Repair Form
The Form Below is intended for the Custodial Staff/Employees of the Hillsboro School District for dispenser repairs
Contact Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
School/District Site Name
*
School/District Site Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Repair/Replacement of:
Appeal Soap
Renown Paper Towel
Renown Toilet Tissue
Seat Cover Dispenser
Sanitary Napkin Dispenser
Sanitary Napkin Trash Can
Other
Quantities of Repair/Replacement
Location Area(s) of Repair/Replacement & Additional Information
Submit
Should be Empty: