< 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*