Customer Request Number
1. Date:
CUSTOMER REQUEST
California State University, Fresno
Mail# PO88
3. Building Name:
4. Room Number:
5. Department:
6. Requestor:
7. Contact Person:
8. Phone Number/Mail#
9. Work should completed by:
10. Department Approval:
INSTRUCTIONS TO REQUEST SERVICES
This customer request should not be used for emergency or other routine maintenance or repairs
which pose an immediate health, safety, or security risk. In cases as these, contact Work Control Center
at 278-2373
All customer requests must be submitted to Plant Operations at least 48 hours in advance of the work
requested.
Requestor: Complete lines 1 through 10. If additional descriptive material is required, i.e., drawings
etc., please attach separate sheet.
Distribution:
Funding: Maintenance costs are usually funded by the Plant Operations budget. If request does not
fall within baseline services, there will be a chargeback to the department.
Cancellation: If, after being informed of the costs by Plant Operations, the requestor does not wish to
proceed with the project, write CANCELLED across the face of the service request and return to Plant
Operations.
2. Description of service request
Instructions to complete the form is provided below.
11. Contact Email:
Time/Date:
