Residence Maintenance Request

When requesting maintenance in areas such as suite/house or bedroom, this form must be completed by the student who is occupying suite/house/bedroom in need of maintenance assistance. By submitting this form, you agree to allow Nipissing University maintenance personnel access to your suite/townhouse/bedroom.

This form is not for Emergency Purposes. If you have an emergency, please contact the don on duty.

Requested By
Issue/Problem
 (Suite/House, Bedroom, Laundry Room, Third Floor Hall, etc….)
(Be specific)
Permission
Have your roommates been made aware of this request?
Please indicate where maintenance is required.