EPIC - Maintenance and Building Work Order Request Form

EPIC - Maintenance & Building Work Order Request
NOTE: This page is intended for EPIC internal staff use only. Unauthorized access or submission of requests by non-staff members is strictly prohibited
Requester Name:*

First NameLast Name
Contact Number*
Format: (000) 000-0000.
E-mail:*
example@example.com
Specify Location of work to be completed at:*
(e.g. Facility Name and Room #. etc)
Type of Work*

ElectricACPlumbingHandymanOther
Describe the Work*
Comment and Questions:
Upload Pictures or Videos showing item needing work

Cancelof
Please verify that you are human*
Should be Empty:

EPIC - Maintenance & Building Work Order Request