Service Request

For emergencies which pose an immediate health, safety, or security risk, please call the Department of Risk Management and Sustainability department at (559)278-7422, do not submit a form. If you are experiencing an emergency during off hours please call University Police at 911 from a campus phone, or (559) 278- 8400 from a cell phone.

If your request may result in a chargeback to the department, you will be notified before the service is completed. An authorization from the department or dean will be required on all chargeback services.

Date:

01/20/2009

Category:
Risk Management Workers’ Comp Environmental health and safety Emergency planning/Business Continuity Sustainability/Recycling

Description of Service Request:

Building Name:

Room Number:

Department:

Requestor:

Contact Person:

Contact Email:

Phone Number/Mail#:

Service Should Completed by
( indicate date):

Dean/Director/Chair's name and email address:

Please click submit only once, you will receive an acknowledgement page indicating your request has been sent.