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Facilities Management
Non-Emergency Repair/Service Request Form

Please complete the below fields to submit a repair/service request. Requests are addressed Monday through Friday, 7:00 a.m. to 3:30 p.m. If immediate assistance is needed, please call the main service line at (209) 468-3357.

** Required fields

**Please Check One:

Repair requests are defined as maintenance and repair items. Examples include general building repairs such as locks, heating, ventilation, air conditioning, plumbing, electrical and lighting.

Service requests are defined as work outside of maintenance and repair that does not involve change in space or space classification or does not require professional engineering or permitting. Examples include carpentry and painting beyond the planned maintenance cycle, structural/physical changes of interior space, locksmith alterations, re-keying doors and/or replacement of door lock hardware.

Facilities Management will determine if request is a maintenance and repair item. Any material or services above and beyond maintenance and repair, will be billed to the requesting department for actual charges incurred.

Requestor Information:

**Date Requested:                     

**Requestor Name:                       ** Phone:
** E-mail:                                    

** Department:                          

** Building/Location:               

**Address(No., Street & City):   

**Room No.(if applicable):     

** What Repair or Service is Needed:

Please provide a short description of the repair/service request.


* Supporting Documentation

Please attach any documentation supporting the service request. Note: attachments must be 40 MB or less

Security Code:
Visual verification


44 North San Joaquin Street
Fifth Floor Suite 590
Stockton, CA 95202
Phone: (209) 468-3357
Fax: (209) 468-2186