Building and Grounds Work Request
Phone: (518) 658-3322     Fax:    (518)  658-3822

Please complete this work request and click the submit button at the bottom of the page.
The work order will go to your Administrator (Principal, Business Administrator, Transportation Supervisor, etc)
who will then approve or disapprove it and forward it on to Building and Grounds.  If you want a record of your request,
please print a copy of your completed form before you hit submit.

Request Date:     Requested by: 

Building: 

Room or Area:
Be specific.  Please indicate room number as it is posted and Staff  Person Name or name by which area is commonly known. 
(room 209, Mr Smith,  Girls Bathroom in High School wing)

Work to be performed:
Be specific in description and number the items to be done if more than one. 
 (1) Outside wall below window, electrical receptacle not working. 2) Corridor ceiling, outside north janitor closet,
damaged ceiling tile needs replacement. 3) Floor tile beneath teacher's desk is missing. )

Date you would like completed by:
Please indicate if there is a specific date the work needs to be completed by.  
IE: June 28, 2006 for HS Graduation Ceremony, or as scheduling permits or ASAP - for safety or health issues. 

Tell us how to get in touch with you:

Name
E-mail
Tel


Berlin Central School District
P.O. Box 259 School Street Berlin, NY 12022 518-658-2690
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