WORK ORDER REQUESTS
Work Order # __________ Time: ___________ Date: ______________________
Priority: Emergency ______ Routine: ______ Schedule: ______
Budgetary Funding: Physical Plant _________ Reimbursable _________________
(Account Numbers)
Craft Assigned To: ________________ Requested by: __________________________
Location: _______________________________________________________________
Accomplish Following Detailed Description: ___________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
- MATERIAL LIST -
Quantity Item Estimated Cost
____________ _______________________________ _____________
____________ _______________________________ _____________
____________ _______________________________ _____________
____________ _______________________________ _____________
Special Needs/Requirements: _______________________________________________
Labor Employee(s): _______________________________________________________
Total Hours: ___________________
Date Work Order Completed: __________________________
Physical Plant Department
Revised 2/11/2016
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