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For Employees

Facilities/Plant Ops/Safety Request

Manager's name * 
Email address * 
Manager's phone extension * 
Location * 
Department * 
Category of request 
Electrical (outlets - lights - tv - elevators) 
Environment of Care (Painting - room temperature - ceiling tiles) 
EOC 
Life Safety (fire alarm issue - trip hazards - bed repair) 
Plumbing (sink - toilet - shower) 
Security (locks - keys - security codes) 
Special Projects 
Other 
Description 
For facilities use only
Part model number 
Serial number 
PO number 
Completed date 
* Required
 
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2131 S. 17th Street, Wilmington, NC 28401  |  910.343.7000