Create a Work Order
Request Type
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Description of Issue
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Media 1
(.png, .jpg, .bmp, .tif, .gif)
Media 2
(.png, .jpg, .bmp, .tif, .gif)
File 1
File 2
Campus:
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Building:
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Floor:
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WayFind:
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Affecting Patient Care:
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Yes
No
Location:
Asset
Dispatch
EC Tour
Event
Facilities Created
Fire Drill
ILSM Monitoring
ICRA Monitoring
PM
Project
Temporary PM
Tracer
Web Request
New
Assigned
In Progress
On Hold
On Hold-Contractor
On Hold-Parts
Canceled
Closed
Incomplete - Closed by System
What is the Asset ID:
Tell us about you:
What's your name?
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What department are you in?
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What's your email address?
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What's your phone number?
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