Minor New Works Request

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This form is used to request NEW electrical, mechanical, plumbing and building related work ONLY.

To request general building, electrical, plumbing or garden maintenance services please use the Properties Service Co-ordination Centre (SCC) Maintenance Request Form

*Areas marked with an asterisk must be completed in order to submit your request, you will be prompted if you have missed an area.

Cost Centre / Location

*School/Department:	This field is required, Please enter your School / Department
* Location	This Field is required, please enter the request location
* Cost Centre:	This Field is required, please enter the correct cost centre number

Requesting / Authorising Person's Details

Please Note: If the requesting person and the authorising person are the same, then only Authorising Person's Details are required.
Click here to remove the "Requesting Person's" section

Requesting Person's Details:
Your Name:
Email Address:	Please enter your Curtin Email address
Phone/Extension:
Fax/Extension:

Authorising Person's Details:
* Your Name:	This field is required, Please enter the authorising person's name
* Email Address:	Please enter your Curtin Email address This field is required, Please enter your Curtin email address
* Position Title:	This field is required, Please enter your position title
* Staff ID No:	This field is required, Please enter Staff ID Number
* Phone/Extension:	This field is required, Please enter your phone number
* Fax/Extension:	This field is required, Please enter your fax number

Description of your Request

Please Note: Lodgement of this request form will be deemed as formal authorisation to proceed with the work required.
* Please provide a description of the work required:	This field is required, Please provide a description of the work required
	I would like to add attachments to my work order

Properties Department Use Only
Project Number:
Project Name: