Service Request

This form is intended for Faculty and Staff, only.

Students: Maintenance issues must be reported via your RA, CRA, Commons Office, or Senior Residence Director.

In the event of an emergency, call Facilities Services at x5472. For after hours emergencies, contact Public Safety at x5911.

NOTE: For special events, lectures, and activities, please contact the Events Scheduling Office (x2885) to schedule a location and specify setup requirements and equipment needs.

Requestor

First Name *

This form is intended for Faculty and Staff use only.

Last Name *

Your Last Name

E-mail address

username@middlebury.edu

Phone *

Accounting

Department

Please enter your department

Banner Index

For requests unrelated to general building maintenance

Location

Building

Floor

Room/Area

Maintenance

Request

(please describe in detail)

File Attachment

Please attach additional information here to accompany this request
Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png bmp eps tif pict psd txt pdf doc docx xls xlsx avi mov wav rar sit tar zip.

Please check that the information above is entered completely and correctly before submitting this request.

Leave this field blank

Middlebury

facilities_header.jpg

Service Request

This form is intended for Faculty and Staff, only.

Facilities Services