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Air Station Borinquen Facilities Engineering

Electronic Work Order Form

NOTES:
1) Maintenance personnel will contact you to coordinate the service call, they will
    NOT enter your house unaccompanied, unless YOU Authorize it on your request.

2) Management personnel and subcontractors will not enter a home if minors are present and not accompanied by and an adult.


Originator's Name:
House / Building and Room #:
(This is a required field)
Contact Phone:
(This is a required field)

(This is a required field)

For Emergencies Please call: (787) 890-8470 or
(787) 890-8400 ext 8518 / 8501 / 8462
After Hours Call the OOD at (787) 890-8472 or (787) 890-8400 ext 8525


(This is a required field)
DHSCGBar
Work Craft Required
Select one

Brief description of discrepancy / work required

Special Instructions (access, authorization, times)

Authorization to enter in residences absence:       

Desire a call from the maintenance technician before he arrives: 

Are there loose pets in the home?: 

Request that all pets be crated/secured, if applicable.
Type of Pets?:

DHSCGBar

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Last Modified 3/4/2014