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This form is for Billable maintenance only. It requires an "S" number and can only be submitted by authorized personnel.

Do not print this screen. Please click the Continue button at the bottom of the form to generate the request, and then print that screen and FAX it to 621-5617 with the appropriate signature.

Go to the Estimate Request Form to request an estimate from Renovation Services for billable work.

Go to the Non-Billable Maintenance Form for non-billable work.

Go to the Maintenance Services Page for a list of billable vs. non-billable services.

Billable Maintenance Request Form

Dept (S) Blanket # *

Name: *
Phone: *
Email: *
Department Name:
Department Number:

Location of Maintenance Required

Building Name or Address: *
Building Number: *
Room Number: *

Description Of Maintenance Requested:
Comment/Notes:

Related Links | The University of Arizona | UA Phonebook | UA Employee Link