Lawrence University

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Work Order Submission Form

Building *

Location or Room Number *

Detail of Work to be Completed *

Work to be performed in an office or a student room requires the occupant's name and phone number in the box above in addition to the detail of work.

Date Needed

Year

Month

Day

Your Name *

Your Email *

Your Phone Number *

Is this billable student damage?

Yes

No

Student to Bill

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711 E. Boldt Way
Appleton, WI 54911

(920) 832-7000

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