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Reinhard Villages Work Order Request Form


This form is for students residing in the apartments at Reinhard Villages.

Background Information

 
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Email address must be of a valid format.
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Include room/apt. #, side of room apt. etc.

Person to be contacted

Involved party 1

Work Order Information

Please provide information fully to assist in the completion of your request.

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Do you have a comfort animal in your apartment?(Required)
You must make at least one selection.
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Do you have a fever >100.4° or chills?(Required)
You must make at least one selection.
Are you currently experiencing or have you experienced any of the following symptoms in the past 14 days?(Required)
You must make at least one selection.
To your knowledge, have you been in contact with anyone who tested positive for COVID-19 in the past 14 days?(Required)
You must make at least one selection.
In the past 14 days, have you traveled outside of the United States or to an area within the United States that is currently on the Commonwealth list of states with high case counts of COVID-19? Alabama, Arizona, Arkansas, California, Florida, Georgia, Idaho, Kansas, Louisiana, Mississippi, Missouri, Nevada, North Dakota, Oklahoma, South Carolina, Tennessee, or Texas.(Required)
You must make at least one selection.

Supporting Documentation

You may provide pictures to assist in the completion of the work order if possible. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission