Work Orders

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Items indicated with an (*) are required.

* Name

* E-mail address

* Phone Number

* Faculty/Unit

* Department


* Work order type

Location of Equipment (Room)

List Courses Used For

* Date Required

* Title of Request

* Description of Request

Equipment Information


Serial #

Model #

Safety Consideration

The University of Regina collects information under the authority of The University of Regina Act and in accordance with the Local Authority Freedom of Information and Protection of Privacy Act and the Personal Information Protection and Electronic Documents Act for purposes of the administration of the University and its programs and services. By responding to this form, you are consenting to the University of Regina using your personal information. Use of said information is subject but not limited to: future contact regarding applications, room offers, notice of upcoming Residence and/or University of Regina events and changes in University/Residence policies.