Facility Maintenance Request Form

Facility Maintenance Request Form
Building

Courthouse Annex Family Court Finance Building Road Department North Road Department South Planning and Development Jail Battlefield Golf Course Emergency Operations Center-Richmond Joint Information Center-Richmond Battle of Richmond Visitor's Center Park
If the issue is with a specific office space or area, please specify.
Facility Issue

Heating Air Conditioning Electric Power Outage Plumbing Clean Up Needed/Spill Snow/Ice Removal Custodial Cleanup
Is this issue an emergency?

Yes No
Describe the situation
Upload additional information:
Is the Department Head aware of the issue?

Yes No
Submitter

First Name Last Name
Department
E-mail
Phone Number

- Area Code Phone Number
Should be Empty: