Lifepoint College Damage Report/Maintenance Request
To report something in need of repair, please provide the following information.
Person completing this form:
First Name
Last Name
Date and time when damage occurred (if known):
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Day
-
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Who was involved or witnessed the damage? (if known)
Damage details
Location of Damage
Upload a picture of the damage if possible.
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