Facilities Service Request | UNC Neuroscience Center

Name*
Date
MM slash DD slash YYYY
Email*
Contact Phone Number (for Facilities to contact with questions)*
Facilities Service You Are Requesting*
Please select one or more services from the list below. Pleas provide additional information in the comments section below.
- Elevator
- Autoclave
- Lights Out
- Equipment Repair/Removal
- Surplus
- Other
MEJ Floor Number*
MEJ Room Number*
Comments*
Please provide detailed comments about the services you are requesting. The more information you provide, the easier it will be for the Facilities Team to handle your request efficiently.