AGSD Maintenance Request Form
Maintenance Request/Work Order
This form will be sent to the maintenance director upon submission.
Nature of the Problem
Name of Site/Building Administrator
Site/Building Administrator is aware of request and has approved submission of this form.
Before submitting this request form, your site administrator must approve this maintenance request.
Please attach photo of item that needs maintenance.
This section is for the Maintenance Coordinator only.
*Estimated Materials Cost:
*Estimated Labor Cost (Salary and Benefits)-
Hrs@$___________ = $___________
*Vehicle Mileage Cost:
*Other Costs (Describe): $________________
Completion Date: _____________________
Routing: Requestor/Building Administrator/Superintendent/Maintenance Coordinator
You may contact me at the email address below if more information is required (a copy of this request will be emailed to this email address).
Do Not Fill This Out