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Okolona Municipal Separate School District
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Maintenance Request Form
Please complete the form below. Required fields marked with an asterisk *
Date
*
School Location
Answer Required
Room Number
*
Teacher
Answer Required
Person Making Request
*
Answer Required
Briefly Describe the work to be completed
*
Answer Required
Check the following repair work needed
*
Answer Required
Change Light Bulb
Air/Heat is not working
Door will not close
Door will not lock
Window not closing
Window glass is broken
Other:
Confirmation Email
Confirmation Email
*
Enter your email address here if you'd like to receive a confirmation upon submitting the form.
Email Required
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