WORK ORDER REQUEST FORM

WELLS & ASSOCIATES, LLP | East Stroudsburg Campus

Requested By - John Richards Today’s Date October 12

Department - Customer Service Office/Cubicle No. - Row C Unit 12

Office Phone – (570)-555-2323 Email - jrichards@wellsllp.com

Supervisor’s Name - Nichelle Adams Supervisor’s Phone - 570-555-2323

Date Problem - Began October 12 Interferes with Work? Does Not

Description of Problem

On October 12th it came to our attention that the door of a supply closet was jammed
from the inside. The door cannot be opened something has jammed it.

-------------------------Facilities Management Use Only---------------------------

Received By
Nicholas Kiener

Priority Code
1: Emergency 2: Urgent 3: Expedited 4: Scheduled 5: Planned 6: Events 7: Meetings &
Maintenance Maintenance Training

Description of Completed Work Order and Material Used

It was discovered that a couple of fallen boxes were wedged between the door and the shelf causing
the door to jam. The door was unjammed. The staff got rid of access materials in the closet so that it
wouldn’t happen again. No materials were used.
 Completed By: John Parsons Date: October 16

Time Started: 9:20 am Time Finished: 12:30 pm

Wells and Associates, LLP Facilities Management Department receives and processes request work orders daily. We strive to schedule and
complete these services in a timely manner. Each Wells LLP campus has a separate Work Order Request Form to assist us in tracking
maintenance on each campus separately. Please make sure you are filling out the correct form and submitting it to the right office:

Stroudsburg Campus: Submit to Carey Finnegan, Assistant Director, Stroudsburg Campus: cfinnegan@wellsllp.com
East Stroudsburg Campus: Submit to Terry Price, Assistant Director, East Stroudsburg Campus: tprice@wellsllp.com