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Maintenance Work Order
Note: This form is only for maintenance work orders. If you need to submit a work order/ticket for your computer, printer, wifi, Chromebook, etc.,
visit this link
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Today's Date
*
First Name
*
Last Name
*
Email Address
*
Building / Location
*
400 Jayne Boulevard
Boyle Road Elementary School
Clinton Avenue Elementary School
Comsewogue High School
District Office
Grounds Department
JFK Middle School
Maintenance Shop
Norwood Avenue Elementary School
Terryville Road Elementary School
Area
*
Athletic Field
Auditorium
Cafeteria
Classroom
Grounds
Gym
Hallway/Corridor
Kitchen
Library
Office
Playground
Restroom (Boys)
Restroom (Girls)
Stadium
Stairway
Other
Room Number / Office / Department
*
Work Phone Number / Extension
*
Mobile Phone
(Optional)
Problem Type
*
Plumbing
Electrical
HVAC (Heating / Air Conditioning)
Carpentry
Fields / Grounds
Painting
Telephone
Moving of Item(s) Required
Other
Other
Please describe your problem or request.
*
Day(s) Available for Maintenance
*
Time(s) Available for Maintenance
*
Requested Completion Date
*
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Attachments
Include pictures or anything relevant to the request
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You will receive automatic email notifications at the following steps:
When your request has been successfully submitted.
When the status of request is updated.
If your request has been completed.