Facilities Support Ticket

1
What's Your NAME?* This field is required.
First Name
Last Name
2
What's your LDOE Email Address?* This field is required.Enter your LDOE Email Address below. Example: username@lagunaed.net
Click "Send Verification Code" You will get an email with a 4 digit code to proceed.
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
3
WHAT can we help you with?* This field is required.Let us know what the situation is. Please include as much detail as possible.
Example: Temp control issue, broken furniture, plumbing issue, etc.
4
WHERE is the issue located?* This field is required.Let us know the physical location of the issue. Example: LES Room 172
Please include a Site, Building, and/or Room Number.
5
WHEN would be the best time to help you?* This field is required.Help us with time management: Select a priority level.
Emergency - I Need Help Now
Non-Emergency - When Staff is Available
Call Me to Schedule a Time
Other
6
What PHONE NUMBER Should We Call to Schedule a Time?Enter your call back number below
7
Optional: File or Image UploadYou may add a document or image file to your request, if needed. Example: An image of a malfunctioning machine. If you do not need to upload a file, Click SUBMIT to finish the ticket.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
File types: .pdf .doc .jpg . gif .pub
Cancelof
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