Maintenance / Custodian Work Order Template
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1Bloomer School District
Maintenance / Custodian Work Order
Date:_______________________
Requested by: __________________________________________
Task to be completed (attach diagram or other description as necessary):
Preferred completion date / rationale for completion date:
Complete this form and return to your building principal.
For administrative use only:
Date received _____________
Approved
Not Approved - Reason:
Principal’s Signature ______________________
______________________
Work order assigned to:
____________
Date work order assigned:
For maintenance / custodial use only:
Work Completed
Work Not Completed – Reason:
Maintenance / Custodian Signature_________________________ Date:__________
Return this form to the assigning building principal upon work completion or denial of request.
Use the back of this form to provide additional information.
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Parent category: Business