AIC - Service Request Form
Request maintenance and support.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Building Name
Please Select
Gannon
Washburn
15th Ave
LAC
Admin
Chapel
Athletics
Gym
Cafeteria
Type of Maintenance Needed
*
Please Select
Plumbing
Electrical
Heating/Cooling
Furniture
Internet/Wi-Fi
Other
Room Number or Name
*
Describe the Service Needed
*
Upload Photo
Browse Files
Drag and drop files here
Choose a file
Please upload a photo of the area needing service.
Cancel
of
Date Requested
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Request
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