3901 Rainbow Blvd., Kansas City, KS 66160

Facilities Management Work Request Form

NOTE: Required fields are marked with an asterisk (*).

*First name	*Last name
*Campus Address	*Phone
*Email	*Department
Department Account #
Location of where work is to be accomplished:
*Building	*Room Number
*Description of work needed:
Provide a cost estimate for the above work? yes no

If you have any questions, please call Craig Barry, extension 87982. Thank You!