Goodwill Maintenance Request

This form is to make a request to fix or install something not technology related. Requests for technology (computer, email, network, phone) should be submitted through the It Service Request form at gwisco.org/it-request.

Date*
MM slash DD slash YYYY
Name*
First Last
Location needing work (for example, Chillicothe store)*
Request Priority*
- Low
- Medium
- High
Description of the work or repair needed.*
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