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Date
*
Requester Name
*
First
Last
Type of Request
*
Supplies Request (e.g., coffee, utensils)
Maintenance/Repair Request (e.g., broken chair, plumbing issue)
Maintenance/Repair Request (e.g., broken chair, plumbing issue)
New Appliance (e.g., microwave, refrigerator)
Furniture Request (e.g., chairs, tables)
Other (Please Specify): [Specify]
Description of Request: [Provide a detailed description of your request. Include any specifics such as the brand, model, or quantity of items requested. For maintenance or repair requests, describe the issue in detail.]
*
Urgency Level: [Select one of the following options]
*
Urgent (Requires immediate attention)
High
Normal
Low
Additional Notes or Comments: [Include any additional information, special instructions, or comments related to your request.]
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