FOR: Lab equipment/microscope repairs*, construction of equipment/supply items by Technical Services*, building repairs/maintenance, telephone repairs/moves, moving of heavy equipment, and discarding of old equipment.

Use 1 form each separate problem/request unless the same problem exists in different rooms (i.e., no heat).  Be sure to give exact locations if more than one of the same item exists in any given room (i.e., windows, radiators, light fixtures).

Fill out sections 1-7 and click submit.  Once the request is submitted, please print a copy for your records.

1. Date of request:

2. Submitted by:  

3. Problem/Request:

4. Room number (s):

5. Identifying number: Serial no: and/or U.C. no

6. Project number to charge (if applicable):

7. Principal Investigator:

*  These items are subject to charge against your funds