High School For Health Professions & Human Services

Request for Custodial Work

Please complete the form below. Mandatory fields marked *

Repair Request
  1. DOE Email Address:*
  2. (Please only one repair request per form)

    Boys Girls


  3. Light Out Outlet Switch Fuse Breaker Ballast
    Faucet Sink Toilet Urinal Flushometer Valves
    Thermostat Pneumatic Valve Convector Switch Other:
    Walls Ceiling Tiles Door Furniture
    Window Pane Door Other:
    Keys Cylinders Locks Padlock Hasps Door Knobs
    Doorcheck Door Stop Other:
    Broken: To Move:
    Broken Cord Amount Broken:
    Please explain: