Vermont Veterans Home
MAINTENANCE REQUEST
Task Type
[Please Select One]
Regulatory Inspection
Badges (new/replacement)
Employee Badges
Door Access
Red Tag Equipment Repair
Bed Repair / Mattress Change
Tiles/floor issues
Comput/phone/wifi/cable/remote
Electrical / Lighting
Equipment Repairs
Fire Safety
General Maintenance
Health & Safety
HVAC
Mechanical Lifts
Nurse Call System
Painting / Touch Ups
Pest Control
Grounds Care/Outside Work
Admissions
Wheelchair / EMD Repair
Supplies Needed
Plumbing
Preventive Maintenance
Mount TV
Housekeeping
Building Area
[Please Select One]
Activities
Admin
American Way
Basement
Boiler Room
Brandon Boulevard
Cardinal Point
Crispe Room & Chapel Area
D-Day Way
Deer Park
East Wing
Finance
Grounds, Other
Kitchen & Patriot Hall
Laundry
Lobby/Reception
Maintenance Shop or Barns
North Wing
Parking Lots
Physical Therapy/Rehab
Roof
Shipping/Receiving
Guest Rooms
Canteen
Facility-Wide
Pond and Pavilion Area
Room#
Details
Your Name
Your Email Address
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Date Created:
{date_created}
Type:
{type}
Area:
{area}
Room:
{room}
Comments:
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