STEAM Garden – Facility Repair Request
Please fill out the form to report a repair issue at STEAM Garden. Provide details about the problem and any supporting documents.
Date Submitted
*
-
Month
-
Day
Year
Date
Submitted By
*
Please Select
Anthony
Fred
Gary
Randy
Rich
Ronda
Client / Visitor
Location
*
Please Select
Exterior of Building
Main Hall Front
Main Hall Middle
Main Hall Rear
1st Floor Lobby
Elevator Entrance
Huddle Room – 2nd Floor
Huddle Room – 3rd Floor
Podcast Studio
Maker Space
Office Room
Staircase Front
Staircase Rear
Basement
Courtyard
Rear Building
Roof
Elevator
Other (Please Describe)
Brief Description of the Problem
*
Priority Level
*
Please Select
🔴 Urgent – Immediate Attention Required
🟠 ASAP – Address Within 24 Hours
🟡 Please Schedule – Within the Week
🔵 Needs Investigation – Unclear Scope
⚪ Pending Approval – Awaiting Director Review
📋 Referred to Executive Director
Assigned To / Vendor or Staff Member
Please Select
Albany Elevator Co.
Capital Region Electrical
Hudson Valley Plumbing
Northeast HVAC Solutions
Capitol Fence & Gate
Skyline Roofing
Anthony
Fred
Gary
Randy
Rich
Ronda
To Be Determined
Expected On-Site Date / Arrival Date
-
Month
-
Day
Year
Date
⚠️ Safety Hazard
Yes – this issue poses a risk to staff or visitors
Additional Details
Photos or Supporting Documents
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Your Name (if submitted by client or visitor)
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