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Facilities Service Request
Facilities Service Request
Facilities Service Request
Facilities service request form for members of the Department of Pharmacology.
Name
*
First
Last
Email
*
Facilities Service You Are Requesting
*
Autoclave
Carpentry (Minor Repair/Renovations)
Equipment Repair or Removal
Fabricate (Lab apparatuses)
Lab repairs (Furniture, etc.)
Lights Out - Include Room Number(s) in comment section
Surplus
Other - Please fill in the comments
Please select one or more services from the list below. you may provide additional information in the comments section below.
Comments
Please add any additional comments about the facilities services you are requesting.
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