General Service Enterprise

Request For Services Form (RFS)

Requesting Department

WO#

Department Contact Person

Telephone Number

Date Received in DAS

E-Mail

Completion Date

SERVICES REQUESTED: Please use the "DETAILED DESCRIPTION OF WORK REQUESTED" section below to describe services being requested.

Locksmith	Electrical	Space Planning, Changes In Space Requirements
Mechanical, Plumbing, Heating, Cooling, Ventilation	Carpentry	Relocation, Reset, Move Management
Environmental Testing	Painting Work	Leasing
Other Maintenance Issue (Describe Below)		Other Space Related Issues (Describe Below)
Location of Work Requested
Contact Person at that Location (if other than department contact person)	Telephone Number	E-Mail
DETAILED DESCRIPTION OF WORK REQUESTED (Attach a separate sheet of paper if needed)
Account Number to be Charged	I certify that unencumbered funds are available for the purchase of the project services requested.
Account Number to be Charged	Signature:	Title:

Department of Administrative Services Use Only

Assigned to:

Contractor Company/Contact Name

Office Phone

Cell:

Pager:

Fax:

Division Review Date

Estimated Project Cost

Est. Completion Date

Actual Completion Date