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Facilities Management Work Order Request

2. Porter County Facilities Management Work Order Request
   This work order request form is to be used for all County Departments for an and all requests outside of building emergencies. In the event of a building emergency (power outage, no HVAC at all, water leak that can't wait, overflowing toilet, safety issue, gas leak, etc.) call 219-789-6280.
4. Please note any question with a red * requires an answer. You will find that almost every question will require an answer. You will not be able to submit this form until all fields with the red * are completed.
6. Your First Name*
7. Your Last Name*
9. Your Email Address*
10. Your Phone Number*
12. Which Building Is This Request For?*

    1. Administration Center
    2. Animal Shelter
    3. Courthouse (Valparaiso)
    4. Emergency Management
    5. Expo Center
    6. Highway - Chesterton
    7. Highway - Hebron

    1. Highway - Valparaiso
    2. Juvenile Detention Center
    3. Museum
    4. Opera House
    5. Prosecutor IV-D (157 Franklin)
    6. Sheriff
14. Department Name*
15. Room Number*
17. Description of Service Request(s)*
19. Any Special Instructions?
21. Department Head Name*
22. Has The Department Head Approved This Request?*

    1. Yes

    1. No
24. Please click on "Submit" or "Submit & Print" below and you will be directed to a "Work Order Request Received" page. If you are not directed to the "Work Order Request Received" Page, then you have probably missed providing required information on this form. Please scroll up to see any highlighted fields where an answer is required, then click on "Submit" Or "Submit & Print" again.
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

* indicates a required field