Maintenance Work Request Form for NYSCC

To request your work order, please provide all of the information you know in the form below. When you click Submit Request, you will receive a receipt of the work request, including your work order number. The Physical Plant will receive notification of the request and respond appropriately.

Required fields are marked by an asterisk (*)

This is needed information.

Contact information

Please enter who this is requested by


Please enter a valid email address

Ex: 123-123-1324

Please enter in the Requester's Phone Number following this pattern '555-555-5555'

Please enter a valid Account number

Work request location

Please enter your department/division

Please select your building

Please enter your room

Please enter a valid Area


Date Request Submitted


Ex: 11/04/2019

A valid Date in MM/DD/YYYY format is required.

Please enter in a Description