EEBC Building Maintenance Request Form

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Note: Staff and Ministry areas can use this form to request Building related issues

Date of Request

*

Requested By

*

Email

*

This address will receive a confirmation email

Phone

*

Ministry/Department

*

Location of Issue

*

Please select all that apply.

Sanctuary Gym White House Classrooms Offices Kitchen Restrooms Parking Lot Other

Priority Level

*

Please select one option.

Low (Non-urgent) Medium (Needs attention in a few days) High (Urgent - safety or function impacted)

Description of the issue (Please describe the issue clearly and in detail. Attach picture if available)

*

If you have picture, attach here

Upload (8MB)

Suggested Action (if any)

Description

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