Shutdown Request Form

Please allow at least seven (7) calendar days notice. If approved, a campus announcement will be sent out to the community at least four (4) days ahead of the shutdown.


Sign in to Google to save your progress. Learn more
Building(s): *
Area / Rooms / Floors within Building(s): *
Primary Shutdown/Services Interrupted: *
Required
Description: *
Note the reason for the outage including a detailed description, as well as who will be performing the work.
Emergency (within 48 hours): *
Start Time: *
MM
/
DD
/
YYYY
Time
:
End Time: *
Make sure the END date & time is later than the START date & time
MM
/
DD
/
YYYY
Time
:
Assistance of a BC Staff/Tradesperson requested? *
Please make sure to submit a separate work order with clear descriptions of what services are needed, who the staff/tradesperson is meeting and a listing of steps for the shutdown that needs to be performed.
Required
Work Order Number: *
Use "In Progress" or "TBD", if not available
Project Number: *
Use "In Progress" or "TBD", if not available
Identify Campus Groups Affected *
Check off campus groups affected by this shutdown. Please contact those groups be sure that they approve of the timing of the requested shutdown.
Required
Groups Notified? *
Confirm all affected groups checked off above have been notified and APPROVE of the shutdown's timing.
Requestor: *
Requestor Phone: *
Please use the full phone number (i.e. 617-552-8000)
Requestor Email: *
Please use a valid email address format  (i.e. john.smith@bc.edu).  
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of BC. Report Abuse