Facilities and Physical Plant
Work Order Request
Please submit one (1) signed copy to the Physical Plant via email physicalplant@smsu.edu or send via interoffice
campus mail.
Requested By: ________________________________________________________________________________
Name Dept.
________________________________________________________________________________
Bldg.
Room/Area
Phone # to call with questions
Nature of work or service to be performed:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Location of Work: ___________________________________________________________________________
**********************************************************************************************
Facilities and Physical Plant Use Only
Description of Repair and /or Material(s) Used
Labor Hours
___________
Completed By:
_______________________________________________
Work Order #:
_______________
Date _____________
Area to Charge if applicable: _____________
Job Assigned To:
____________________________________________________________________________
By: ______________________________________________________________________Date: _____________
(Director of Facilities and Physical Plant)
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