< Request Departmental Repairs and Building Modifications | EOHSI

Request Departmental Repairs and Building Modifications

Use this form to request repairs and modifications in the EOHSI building. Choose the type of problem from the drop-down list and provide ample information in the ‘Detailed Description of Problem’ field.


    Your Name*

    Your Email*

    Your Phone Number*

    Your Room Number

    Location of Problem

    Type of Problem

    Detailed Description of Problem

    Date Needed*