Requests

"*" indicates required fields

Name*

First Last

Email*

Phone

Requesting Department*

Date Submitting Request*

Department Head Authorized*

Service Request*

Office Supply

Maintenance Request

IT Services

Creative

Production

Security

Vehicles

Guest Services

Incident Report

IT Service Request

Service or Equipment Requested:*

Date Service Needed:*

Priority*

Guest Services Request

Priority*

Date Needed

Building

Room/Space

Estimated # of People

Guest Services Need

Host

Hospitality

Parking

Heart

Are Supplies, Materials, and/or Equipment provided?*

Yes

Location of Supplies*

List the Additional Supplies Needed*

Time, Date, and/or Location Restrictions*

Maintenance Request

Priority*

Date Needed

Ideal Completion Date

Building

Room/Space

Estimated # of People

Work Order Description Details*

Are Supplies, Materials, and/or Equipment provided?*

Yes

Location of Supplies*

List the Additional Supplies Needed*

Time, Date, and/or Location Restrictions*

Please provide any additional attachments or pictures.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 128 MB.

Security Request

Priority*

Date Needed

Building

Room/Space

Estimated # of People

Work Order Description Details*

Office Supply Request

Item Description*

Quantity*

Date Needed*

Priority*

File

Accepted file types: jpg, png, pdf, docx, Max. file size: 128 MB.

Vehicle Use Request

Driver's Name

First Last

Mobile Phone

Driver has submitted a valid DMV record to Transportation Mgr. within last 3 years:*

Yes

Destination*

Purpose of trip*

Type of Vehicle Requested (Check appropriate line)*

(12) Passenger Van

Box Truck (New)

(14) Passenger Van

Cargo Van

Driver pick-up/Drop-off

Length of Use*

Short Term (less than 2 hours)

Long Term (more than 2 hours)

Ideal Date Needed*

Multiple Dates Needed

Additional Date

Start Time*

Approx. End Time*

Transporting Children?*

Yes

(If yes, must have completed Safe Guarding Children class within the past 3 years and have received the appropriate background checks and clearances)

INSTRUCTIONS AND CONDITIONS OF OPERATION

1. Must have a valid U.S. driver’s license, free of any suspension or revocation, from the state or residence.
2. Operate the vehicle in full compliance with all traffic laws and motor vehicle regulations.
3. Report any accidents immediately to your director and the transportation manager.
4. Traffic Tickets/Citations must be reported to your director and the transportation manager.
5. Any accident involving other vehicles, persons, or property MUST be reported immediately to the police.
6. Payments for citations of parking and moving violations are the responsibility of the driver.

By my signature below, I agree that if an electronic vehicle key fob is lost/not returned while in my control, I will be personally responsible to pay the $250.00 replacement cost or $20.00 for a standard key.

Signature*

*All keys must be returned by the end of each business day unless other arrangements have been previously approved*

Incident Report

Report By*

First Last

Title / Role*

Date of Report*

Contact Phone*

Email*

Incident Type*

Date*

Location*

City/State

Zip / Postal Code

Specific Area of Location (if applicable)

Incident Description*

Contact Name

First Last

Contact Email*

Contact Phone*

Staff / Volunteer Name*

Staff / Volunteer Email

Staff / Volunteer Phone

Police Report Filed?*

Precinct

Reporting Officer

Phone

Supervisor Name*

First Last

Signature*

Follow-Up Action

Creative Request

When planning requests, please allow 14-21 days.

Priority*

Ideal Date Needed*

Creative Services Requested*

Graphics

Video

Photography

Web

Video Edits

Announcements / Voice Over

Text Message

Newsletter

Does your request require a room/space reserved?*

Yes

Is AVL needed?*

Yes

Please provide any additional attachments if available

Max. file size: 128 MB.

Request Details*

Production (Audio, Visual, Lighting)

Event Date*

Event Time*

Is video needed?*

Yes

Room/Space*

Summarize Needs Below*

Meeting In-Person / Over Phone

Please choose 3 dates and time that works best to meet in person or via phone. This meeting is to understand specific needs.

Date

Time

Date

Time

Date

Time