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Central Campus Work Request Form

Building
Choose one: Adeline, Blackstone, Epler, King Albert, Montgomery, Parkway, Saint Helens, Stratford, or West Hall

Room            (room number is three digits)
Area Code   Phone  (area code is three digits, phone number is seven digits)
First Name
Last Name

Description
Please type a description of the work to be performed:

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Welcome to the Central Campus maintenance work request system. Sponsored by the Department of Residence Life at Portland State University and College Housing Northwest. I'm going to ask you some questions about your work request. What building? What room number? What Area Code? What Phone Number? Thank you. Please type your first name, last name, and a description of the work to be performed in the text boxes. When you are ready to proceed, click the submit button. First name? Last name? Thank you, . Your work request is for room . Phone number is . . Is this correct? Thank you. Your request will be handled by our facilities staff and will be completed within fourty eight hours. If you would like to submit another work request, please click your browser's refresh button. Adeline Blackstone Epler King Albert Montgomery Parkway Saint Helens Stratford West Hall 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 yes no
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College Housing Northwest
University District

625 SW Jackson
Portland, OR 97201
(503) 725-4333 Ext. 1
(503) 725-4394 (fax)