Auxiliary Services

Housekeeping Work Order Form

Work Order Details
* Requested By:  
* Department:  
* Contact Name:  
* Email Address:  
* Contact Extension:  
Custodial Department Request
Work Needed:

Check all that apply:

Equipment Discard Details

Type of Equipment:

Cleared by Engineering?        

Cleared by Safety?        

Please Specify:  
Date Needed: If no date, explain in the notes area
* Building:  


1. Most carpets are shampooed on Friday. Please allow two weeks for work to be performed

2. Average time to complete moves is three to five working days

3. All equipment that are connected to the Xiltrix alarm system must go through Engineering before submitting a move request.
Additional Information:
Reference Number:

(If checked, you will be taken to the upload page once the form is submitted.)
* Security

Enter the code below, including spaces, as it appears to the right.

    12 eleven 2023