Maintenance Work Order Form

Your Name

Phone Number:

Email Address

WORK ORDER DETAILS

LOCATION: *

SELECT SPECIFIC AREA/ITEM: *

AREA/ITEM SERVICE NEED: *InspectRepairReplaceCleanPaintPurchaseInstallRemoveMove/RelocateOther

DETAILED DESCRIPTION OF ISSUE: *Please be as specific as possible. Include any relevant details about the problem.

UPLOAD IMAGE/VIDEO(S) *

Drag and Drop (or) Choose Files

REPAIR TYPE:Scope/Complexity of work needed?

PRIORITY LEVEL: *Urgency/Timeline: How quickly does this need to happen? What's the business impact if it waits?

ESTIMATED DAYS TO COMPLETE THIS JOB?Once scheduled, most work orders should take 1–7 days to complete, depending on the scope or complexity of work.

MUST BE COMPLETED BY: *

ASSESSMENT: *Can be completed in-houseRequires outside vendor/contractorNot Sure

WHO SHOULD HANDLE THIS REPAIR?

Select the person best suited for this work, or choose "Not sure" if you need help determining who should handle it

VENDOR RECOMMENDATION:

Do we have a vendor on file that handles these type of repair? If so, please select or add a vendor for this repair. If adding a vendor, please include Vendor and/or Technician name, Phone number or email, and type of service they offer.

ACTIONS ALREADY TAKEN: *

REPAIR RESOLUTION/ PREVENTATIVE MEASURES: *If this can be done in-house, please describe the scope of work intended for this repair.

ESTIMATED COST: $Including any materials or parts needed

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