CLAXTON ELEMENTARY SCHOOL MAINTENANCE REQUEST FORM

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CLAXTON ELEMENTARY SCHOOL MAINTENANCE REQUEST FORM

Place this form in our lead custodian’s box. If there is no response after two days of notifying the lead custodian, then complete a second request and turn it in to Dr. Lewis. Please follow the line of requests.

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* Indicates required question

Request Type *

First Request

Second Request

Teacher's Name *

Your answer

Room Number *

Your answer

Date of Request

MM

/

DD

/

YYYY

Maintenance Request (Please be specific):

*

Your answer

Assigned Custodian

Carolyn Tatum

David French

Jamar Neal

Maintenance Request Responses If Needed: (include the date)

Your answer

Submit

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