This form authorizes individuals in departments to request charge-back work from University Facilities. In order for a charge-back to be processed, you must download the form, fill it out, and then print the form with your information. Forms that are submitted in handwriting will be rejected.
If you are seeking to authorize individuals within your department with the ability to request charge-back work from University Facilities, please download this Maintenance Charge-back form (printable Word document).
Once you've downloaded the form, please open the file and fill it out within the program and ultimately print it. After you have obtained all signatures required, make a copy for your records and either e-mail a copy of the form or send the original by snail-mail to Dispatch, University Facilities, Klugh Avenue. If you have any questions, call our Dispatch office at 864-656-2186.