RESIDENCE LIFE
2039 Kennedy Boulevard . Jersey City . New Jersey . 07305 Phone: 201-200-2338
Maintenance Work Request Form
Complete this form to submit a request for maintenance work.
NOTE:
If your request involves the heating system in your room or residence hall,
please consult Residence Hall Staff first.
Sections/Fields marked with an asterisk (
*
) are required in order to process your request.
*
General Information
*
Detailed Reponses
Your Full Name
Your Room Extension
Building (name of residence hall or house)
Room number
Resident Assistant (RA) Cell Phone Number
*
Resident Counselor (RC) Email Address
A copy of this form will be sent to the email address you provide here.
(ie. username@njcu.edu)
Work Request Types
Facilities (Broken Desk, Repairs, etc.)
Housekeeping (Cleaning, Bulb Replacements, etc.)
Public Safety (Locksmith, Microwave, Key Requests, etc.)
Other:
Description of problem (be as specific as possible):
*
Your Full Email Address
A copy of this form will be sent to the email address you provide here.
(i.e. username@njcu.edu)
If you encounter any difficulties, please contact the ITS Web Developer at
helpdesk@njcu.edu
. Thank you.