Hawaii Pacific University, Student Housing Maintenance Request Form

Name Name First Last
Phone Phone - ### - ### ####
Email
Student ID
Campus
Building

If selecting "Other", please provide the building name below, under Location.
Location (Floor, Room Number, Common Area, etc.)
Description of work needed
Attach Photo(s) of Problem Area (if relevant)

Attach Files

Maximum of 3 photos at 1 MB (max.) per photo.