Please use this form to report issues, request service, or report safety issues to maintenance at the DuBois campus. First Name Last Name E-mail Address Phone Department Date Service Needed Time Service Is Needed Name of Event When Does Event Begin? When Does Event Begin?: Date When Does Event Begin?: Time When Does Event End? When Does Event End?: Date When Does Event End?: Time Building/Room Where Service is Needed Explanation of Services Needed Diagram Upload Upload requirementsOne file only.2 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, pdf, doc, docx, ppt, pptx, xls, xlsx. CAPTCHA Submit