Department Store Maintenance Request Form

Department Store Maintenance Request Form

Please complete this form to report any maintenance issues in the store. Fill out each section, and submit it to the management office.

Date of Request

    Name of Requester

      Department/Area

        Issue Description

          Priority Level

            • Urgent (safety or security risk)

            • Moderate (disrupts work or customer experience)

            • Low (general maintenance)

            Preferred Completion Date

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