Maintenance Request

Name*

Phone*

Email*

Campus Location

Which building is the issue in?*

Is this a residence hall issue?*

Residence Hall Unit #

(if applicable)

If a Residence Hall, can NUHS Maintenance staff enter your apartment when you are not home?*

If YES to above question, what is the earliest time Maintenance staff can enter your apartment?*

Are pets present in the apartment?

If Maintenance staff cannot enter your apartment when you are not home, indicate days/times you are available.*

Please Note: If the resident requests to be present at the time of repair, maintenance hours are 7:30am - 2:30pm, Mon.-Fri.

Describe the problem*

Consent*

By submitting this form, I agree to the privacy statement.*

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Name

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