Building Service Request Form – SSMU Clubs Portal

Name *

First

Last

Preferred Pronoun

Phone *

Email *

Associated Organisation or Group

Not applicable if submitting a request as an individual.

Is this a request for: *

Please describe the nature of the modification/addition *

Please provide details of the modification/addition you are requesting. Please include the room #

Select Building *

Where is the issue located? Please check all that apply. *

Is this issue located in a room *

Room Number *

Is the issue located in a hallway or common area? *

Type of issue(s), please check all that apply *

When did you first encounter the issue? *

Please describe the issue in detail