Trouble Service Request

This form is used to report issues in the Klotsche Center, Pavilion and Engelmann Gym as it relates to facilities and equipment.

Date
MM slash DD slash YYYY
Time

: Hours

Minutes

AM/PM
Requesters or Reporters Name:*
First Last
Location:*
i.e. Weight Room, Pavilion Gym, Eng Gym
Unit # or specific detail:*
There is usually a number identifying each piece of equipment in the fitness center for example, however if there isn’t indicate or say “north wall at the bottom”.
Problem:*
Explain the problem with as much detail as possible.
Post Image
Accepted file types: jpg, jpeg, png, gif.